Individual
DANIELLE MALCHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 E 14TH ST, SUITE 100, HASTINGS, NE 68901-3200
(402) 463-2929
Mailing address
1815 WESTCHESTER DR, HASTINGS, NE 68901-2864
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111819
NE
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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