Individual
MRS. MARY ELIZABETH MALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1227 DE NOAILLES DR, BALLWIN, MO 63011-3605
(314) 607-6897
(314) 251-4564
Mailing address
1990 ELM ST, STRATFORD, CT 06615-6331
(203) 666-8145
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2002016341
MO
Other
Enumeration date
02/07/2007
Last updated
02/17/2020
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