Individual
ALEXIS WHITTAKER MALCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
45 PALMER ST, LOWELL, MA 01852-1834
(978) 970-1607
Mailing address
87 PAINE MOUNTAIN DR, NORTHFIELD, VT 05663-5791
(781) 413-4985
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101-0134327
VT
363LF0000X
Family Nurse Practitioner
RN2262711
MA
Other
Enumeration date
06/30/2011
Last updated
09/18/2025
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