Individual
REBECCA WIKE MALONE
Active
Individual
REBECCA WIKE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
004080
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004080
APRN LICENSE
CT
Enumeration date
05/14/2009
Last updated
01/15/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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