Individual
MS. JUDITH M MALHOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNP
Contact information
Practice address
3120 GLENDALE AVE, TOLEDO, OH 43614-5811
(419) 383-3742
(419) 383-6244
Mailing address
3355 GLENDALE AVE, THIRD FLOOR, TOLEDO, OH 43614-2426
(419) 383-7100
(419) 383-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN203351
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COA 09404 NP
COA NUMBER
OH
01
—
RN203351
RN LICENSE
OH
Enumeration date
10/30/2007
Last updated
10/30/2007
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