Individual
MRS. IRIS A MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
501 W SAINT MARY BLVD, # 416, LAFAYETTE, LA 70506-4600
(337) 289-2596
(337) 289-2226
Mailing address
208 NORTHWOOD DR, LAFAYETTE, LA 70501-2355
(337) 289-2596
(337) 289-2226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03993
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1127582
—
LA
Enumeration date
06/13/2005
Last updated
06/11/2008
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