Individual
MALLORIE M HABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1240 LEE ST, CHARLOTTESVILLE, VA 22908-3765
(434) 924-9333
(434) 244-7526
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
0024181481
VA
363LF0000X
Family Nurse Practitioner
Primary
0024181481
VA
Other
Enumeration date
07/19/2021
Last updated
05/24/2024
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