Individual
ROSEMARY MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2600 WILSON STREET, MILES CITY, MT 59301-5016
(406) 233-2600
(406) 233-2763
Mailing address
2600 WILSON STREET, MILES CITY, MT 59301-5016
(406) 233-2600
(406) 233-2763
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN6298
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439699
—
MO
01
—
6298
MT STATE LIC NUMBER
MT
Enumeration date
10/04/2006
Last updated
07/09/2007
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