Individual
MRS. ALIYA MALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
F01220751
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2316001
MA
Other
Enumeration date
03/16/2022
Last updated
02/12/2026
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