Individual
NINA M MALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
5067 55TH ST NW, ROCHESTER, MN 55901-3809
(507) 292-7070
Mailing address
5067 55TH ST NW, ROCHESTER, MN 55901-3809
(507) 292-7070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5655
WI
363LA2200X
Adult Health Nurse Practitioner
5655
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
5629
MN
363LG0600X
Gerontology Nurse Practitioner
5655
WI
Other
Enumeration date
01/30/2014
Last updated
07/19/2024
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