Individual
STEPHANI MALAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041.518221
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209035364
IL
Other
Enumeration date
02/19/2025
Last updated
05/06/2026
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