Individual
DONNA MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5800 PARK CENTER CT, SUITE C, TOLEDO, OH 43615-0710
(419) 479-5605
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 479-5605
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA10897NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3019781
—
OH
Enumeration date
11/03/2009
Last updated
05/31/2011
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