Individual
MRS. MAUREEN ANNE MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.S.,R.N.
Contact information
Practice address
2001 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404-3074
(612) 301-3433
(612) 627-4205
Mailing address
3536 47TH AVE S, MINNEAPOLIS, MN 55406-2939
(612) 721-3066
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R056685-8
MN
Other
Enumeration date
09/25/2006
Last updated
10/24/2014
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