MARY LORRAINE MALICK (NPI# 1578600441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578600441 |
| Entity Type | Individual |
| Full Name | MARY LORRAINE MALICK |
| Other Name | MARY LORRAINE MALICK |
| Practice Address |
601 Wall St Valparaiso IN 46383-2512 |
| Mailing Address |
601 Wall St. Valparaiso IN 46383 |
| Practice Telephone | 2195313500 |
| Mailing Telephone | 2193846178 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2017-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.010129 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
70000085A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093272601 | Mary Kaitlin Malick | Registered Nurse | 1909 Hampshire Pike, Columbia, TN 38401-5650 | 2019-03-01 |
| Street Address |
601 WALL ST |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780677542 | Erin Stewart | Social Worker | 601 Wall St, Valparaiso, IN 46383-2512 | 2005-08-26 |
| 1619587607 | Kristy Steiner | Counselor | 601 Wall St, Valparaiso, IN 46383-2512 | 2020-08-04 |
| 1639731409 | Alaina Ciarrocchi | Counselor | 601 Wall St, Valparaiso, IN 46383-2512 | 2019-07-02 |
| 1770048480 | Lindsay Marie Beougher | Social Worker | 601 Wall St, Valparaiso, IN 46383-2512 | 2019-02-06 |
| 1184104853 | Andrea Lynn Farmer | Nurse Practitioner | 601 Wall St, Valparaiso, IN 46383-2512 | 2018-08-21 |
| 1558856922 | Alejandra Camacho Soria | Counselor | 601 Wall St, Valparaiso, IN 46383-2512 | 2018-06-27 |
| 1548754245 | Dawn Hickman | Counselor | 601 Wall St, Valparaiso, IN 46383-2512 | 2018-06-18 |
| 1740772847 | Whitney Stanfill | Counselor | 601 Wall St, Valparaiso, IN 46383-2512 | 2018-06-04 |
| 1427545912 | Tanye' S. Tyler | Social Worker | 601 Wall St, Valparaiso, IN 46383-2512 | 2018-04-19 |
| 1386156263 | Leigh Regine Westergren | Social Worker | 601 Wall St, Valparaiso, IN 46383-2512 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902436330 | Angela Nicole Demorotski | Nurse Practitioner | 2301 Nottingham Dr, Valparaiso, IN 46383-9182 | 2020-01-24 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1154834372 | Victoria Marie Schwarten | Nurse Practitioner | 2307 Laporte Ave Suite 8, Valparaiso, IN 46383 | 2017-11-09 |
| 1083081129 | Juana Maria Ambriz De Williams | Nurse Practitioner | 2005 Valparaiso St Ste 210, Valparaiso, IN 46383-3329 | 2015-08-24 |
| 1205124179 | Kelley L Eshenaur | Nurse Practitioner | 55 University Drive, Suite 102, Valparaiso, IN 46383 | 2011-07-13 |
| 1972731883 | Marty Lee Walker | Nurse Practitioner | 444 Valparaiso Pkwy, Bld C, Valparaiso, FL 32580-1206 | 2009-06-30 |
| 1023277738 | Chrysanthemum M Davis | Nurse Practitioner | 1551 South Sturdy Rd., Valparaiso, IN 46383-7883 | 2008-06-06 |
| 1831317809 | Elise Marta Alverson | Nurse Practitioner | 1406 Laporte Ave, Valparaiso University Health Center, Valparaiso, IN 46383 | 2007-04-23 |
| 1275669079 | Jayne Lee Targgart | Nurse Practitioner | 909 Tiller Dr, Valparaiso, IN 46385-1304 | 2007-02-26 |
| 1376601963 | Margaret Marie Sabo | Nurse Practitioner | 2803 Boilermaker Ave, 1f, Valparaiso, IN 46383-8412 | 2006-12-05 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
Please comment or provide details below to improve the information on MARY LORRAINE MALICK.
| 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.