Individual
MALLORY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
543 7TH ST SE, CEDAR RAPIDS, IA 52401-1929
(319) 861-7600
(319) 861-7678
Mailing address
543 7TH ST SE, CEDAR RAPIDS, IA 52401-1929
(319) 861-7600
(319) 861-7678
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
150411
IA
363L00000X
Nurse Practitioner
Primary
A181809
IA
Other
Enumeration date
02/23/2018
Last updated
04/02/2025
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