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Individual

MALLORY AVIVA FELDMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, CRNP, FNP-BC

Contact information

Practice address
15245 SHADY GROVE RD STE 150, ROCKVILLE, MD 20850-7210
(301) 869-9776
Mailing address
9700 OAKDALE DR APT 408, ROCKVILLE, MD 20850-4614
(240) 205-6180

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R249802
MD

Other

Enumeration date
03/24/2025
Last updated
03/24/2025
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