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Individual

RACHEL MALLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, FNP-BC, MSN

Contact information

Practice address
1601 E BROADWAY STE 260, COLUMBIA, MO 65201-8041
(573) 815-2221
(573) 815-5320
Mailing address
1601 E BROADWAY STE 260, COLUMBIA, MO 65201-8041
(573) 815-2221
(573) 815-5320

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015015185
MO

Other

Enumeration date
05/20/2015
Last updated
10/09/2024
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