Individual
MALLORY R MUMMA
Active
Individual
MALLORY R MUMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
60412207
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP70030539
WA
Other
Enumeration date
06/18/2025
Last updated
08/11/2025
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