Individual
MS. CAROLYN MORRIS MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1166 K ST, BRAWLEY, CA 92227-2737
(706) 344-9951
Mailing address
337 W SUMMERCHASE DR, FAYETTEVILLE, NC 28311-2970
(910) 223-0521
(910) 884-9934
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
005002206
NC
363LF0000X
Family Nurse Practitioner
627165
TX
363LF0000X
Family Nurse Practitioner
95007789
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5002206
NC
Other
Enumeration date
05/02/2006
Last updated
05/10/2018
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