HEATHER MALLON


Address: 2940 Duck Pond Ln, Ramona, CA 92065-3665
Phone: 8589458578

HEATHER MALLON (NPI# 1043615206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043615206
Entity Type Individual
Full Name HEATHER MALLON
Credential FNP-BC
Practice Address 2940 Duck Pond Ln
Ramona
CA 92065-3665
Practice Telephone 8589458578
Mailing Telephone 8589458578
Enumeration Date 2014-10-30
Last Update Date 2014-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95000257 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2940 DUCK POND LN
City RAMONA
State CA
Zip Code 92065-3665

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881967990 Patricia Ann Payne Nurse Practitioner 19254 Horizon View Dr, Ramona, CA 92065-1015 2012-02-21
1356817431 Jessica Marie Salas Nurse Practitioner 211 13th St, Ramona, CA 92065-2711 2018-10-16
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1083845069 Chinh N Doan Nurse Practitioner 220 Rotanzi St, Ramona, CA 92065-2583 2009-08-07

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Competitor

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City RAMONA
Zip Code 92065

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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