Individual
CAROL MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1231 COUNTRY CLUB DR, CARSON CITY, NV 89703-8372
(775) 884-3990
(775) 884-2202
Mailing address
1231 COUNTRY CLUB DR, CARSON CITY, NV 89703-8372
(775) 884-3990
(775) 884-2202
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN000968
NV
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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