Individual
RITA MALKKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
571 S ALLEN RD, FLAT ROCK, NC 28731-9447
(828) 692-6178
Mailing address
PO BOX 686, SALUDA, NC 28773-0686
(828) 692-6178
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
103989
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103989
STATE LICENSE
NC
Enumeration date
02/22/2007
Last updated
07/08/2007
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