Individual
MALLORY STARR DEVORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
132 ABIGAIL LN, PORT MATILDA, PA 16870-7153
(814) 272-7710
Mailing address
42 HIGH MEADOW LN, STATE COLLEGE, PA 16803-1853
(804) 720-5361
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP027775
PA
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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