Individual
NATHAN BRYANT MALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
915 W 4TH ST, MORRIS, MN 56267-2024
(320) 491-0594
Mailing address
915 W 4TH ST, MORRIS, MN 56267-2024
(320) 491-0594
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10978
MN
363LP2300X
Primary Care Nurse Practitioner
10978
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10978
CERTIFIED NURSE PRACTIONER
MN
01
—
1669534
MN RN
MN
Enumeration date
12/14/2023
Last updated
12/14/2023
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