Individual
MS. MARYKAY MALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., A.P.N. C.
Contact information
Practice address
703 E MAIN ST, MOORESTOWN, NJ 08057-3068
(856) 235-0290
(856) 235-0601
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25MA08106600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7399600
—
NJ
Enumeration date
06/16/2006
Last updated
07/22/2011
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