Individual
ANNA ELIZABETH MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
2240 RIDGEWOOD RD STE 100, WYOMISSING, PA 19610-1286
(610) 376-8691
(610) 376-8745
Mailing address
2240 RIDGEWOOD RD STE 100, WYOMISSING, PA 19610-1286
(610) 376-8691
(610) 376-8745
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP022972
PA
363LP0200X
Pediatric Nurse Practitioner
ARNP9487280
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038679770001
—
PA
01
—
20180497
PCNB CERTIFICATION
—
01
—
ARNP9487280
FL DEPT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
01
—
SP022972
NP LICENSE PA
PA
Enumeration date
06/15/2018
Last updated
04/11/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us