Individual
MRS. MALLORY ELLEN HATMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
CLEVELAND CLINIC, 9500 EUCLID AVE- WELLNESS, CLEVELAND, OH 44195-0001
(440) 813-1570
Mailing address
1587 RYDALMOUNT RD, CLEVELAND HEIGHTS, OH 44118-1349
(440) 813-1570
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.16118-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG0614140
AANP
OH
Enumeration date
08/12/2014
Last updated
08/12/2014
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