Individual
NANCY NIEHOFF MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 472-7376
(541) 472-7377
Mailing address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 472-7376
(541) 472-7377
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
079044252N1FNPPP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109423
MEDICARE PART B
OR
05
—
240361
—
OR
Enumeration date
11/18/2008
Last updated
11/18/2008
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