Individual
MAGDALENA AGNIESZKA MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3016 W CHARLESTON BLVD STE 150, LAS VEGAS, NV 89102-1964
(702) 790-2701
(702) 993-4005
Mailing address
3016 W CHARLESTON BLVD, STE 150, LAS VEGAS, NV 89102-1964
(702) 290-2701
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN2443
HI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN80646
NV
Other
Enumeration date
06/20/2018
Last updated
03/12/2019
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