Individual
KRYSHA PATRIZ MALLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
595 E LANCASTER AVE, ST DAVIDS, PA 19087-5111
(215) 645-5664
(610) 756-2045
Mailing address
834 CHESTNUT ST, STE 104, PHILADELPHIA, PA 19107
(215) 258-8301
(610) 756-2045
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP018407
PA
363LA2200X
Adult Health Nurse Practitioner
SP018407
PA
363LG0600X
Gerontology Nurse Practitioner
SP018407
PA
363LP2300X
Primary Care Nurse Practitioner
SP018407
PA
Other
Enumeration date
03/01/2018
Last updated
03/17/2025
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