MALLORY LEIGH KETTERER


Address: 7837 N Box Camp Pl, Tucson, AZ 85743-5545
Phone: 6027698604

MALLORY LEIGH KETTERER (NPI# 1144821968) 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) 1144821968
Entity Type Individual
Full Name MALLORY LEIGH KETTERER
Credential RN
Practice Address 7837 N Box Camp Pl
Tucson
AZ 85743-5545
Practice Telephone 6027698604
Enumeration Date 2020-11-06
Last Update Date 2020-11-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
RN177978 AZ Nursing Service Providers

Office Location

Street Address 7837 N BOX CAMP PL
City TUCSON
State AZ
Zip Code 85743-5545

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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598378994 Marie Reina Andriopoulos Registered Nurse 7751 E Big Meadow Dr, Tucson, AZ 85756-6160 2020-08-25
1013529700 Evelyn Long Registered Nurse 12500 E Roger Rd, Tucson, AZ 85749-8487 2020-08-23
1588276992 Eric Smith Registered Nurse 3640 W Sunglade Dr, Tucson, AZ 85742-1134 2020-08-18
1326505173 Tana Jay Shields Registered Nurse 5877 W Yuma Mine Cir, Tucson, AZ 85743-9717 2019-02-28
1902363880 Ammon Brimhall Registered Nurse 4550 E 16th St, Tucson, AZ 85711-4230 2019-02-27
1487255063 Brooke Holtzen Registered Nurse 6200 N La Cholla Blvd, Tucson, AZ 85741-3529 2020-11-02
1144832304 Suzannah Gallaher Registered Nurse 1625 N Campbell Ave, Tucson, AZ 85719-4330 2020-08-19
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1184236531 Jeremiah James Palicka Registered Nurse 1625 N Campbell Ave, Tucson, AZ 85719-4330 2020-08-18
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Competitor

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City TUCSON
Zip Code 85743

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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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