Individual
MRS. MALLORY LYN EARTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5016 US HWY 75, DENISON, TX 75020-4584
(903) 416-4100
Mailing address
5016 US HWY 75, DENISON, TX 75020-4584
(903) 416-4100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1057092
TX
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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