Individual
DR. MALLORY E FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP,FNP-C
Contact information
Practice address
24 GLOUCESTER RD, STUARTS DRAFT, VA 24477-3321
(540) 337-3710
(540) 337-0930
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024176719
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760866040
—
MI
Enumeration date
07/16/2015
Last updated
06/11/2019
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