Individual
MS. PRISCILLA B MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AP RN
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9300
(860) 545-9301
Mailing address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9300
(860) 545-9301
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
R32068
CT
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
000209
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000209
APRN
CT
05
—
004236007
—
CT
01
—
R32068
RN LICENSE
CT
Enumeration date
02/10/2006
Last updated
12/21/2011
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