Individual
SUE A MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1010 15TH ST N, HUMBOLDT, IA 50548-1008
(515) 332-2015
Mailing address
24 N 9TH ST, SUITE A, FORT DODGE, IA 50501-3909
(515) 574-6890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A-050489
IA
Other
Enumeration date
02/03/2006
Last updated
09/25/2007
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