Individual
MRS. NIKKI MARIE MALLEY
Active
Individual
MRS. NIKKI MARIE MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2015043931
MO
363LF0000X
Family Nurse Practitioner
Primary
277000304
IL
Other
Enumeration date
08/18/2016
Last updated
05/12/2023
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