Individual
PAULA MALBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCNS
Contact information
Practice address
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602
(315) 772-6703
Mailing address
21551 REDWOOD LN APT C, WATERTOWN, NY 13601-5961
(216) 262-9767
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN264774
OH
Other
Enumeration date
07/30/2009
Last updated
10/24/2022
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