Individual
EMILY MARY MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1020 N 12TH ST, MILWAUKEE, WI 53233-1308
(414) 219-5219
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 219-5219
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100029392
—
WI
Enumeration date
04/16/2013
Last updated
10/15/2023
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