MS. MARY L. MALLORY (NPI# 1801087796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801087796 |
| Entity Type | Individual |
| Full Name | MS. MARY L. MALLORY |
| Credential | NURSE PRACTIONER |
| Practice Address |
401 Holly Hills Ave Saint Louis MO 63111-2410 |
| Practice Telephone | 3143535190 |
| Practice Fax Number | 3143531310 |
| Mailing Telephone | 3143535190 |
| Mailing Fax Number | 3143531310 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2014-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
058328 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528442944 | Mary Mallory | Nurse Practitioner | 200 West Arbor, San Diego, CA 92103 | 2015-07-15 |
| 1174672125 | Mary Clare Mallory | Acupuncturist | 1952 Blue Mesa Ct, Loveland, CO 80538-4125 | 2007-01-09 |
| 1629587530 | Mary Mallory | Nurse Practitioner | 7202 Poplar St Ste E, Annandale, VA 22003-3025 | 2017-09-22 |
| 1174608392 | Mary Margaret Mallory | Nurse Practitioner | 1935 Motor St, %arms Clinic, Dallas, TX 75235-7701 | 2006-10-26 |
| 1427143874 | Mary Nan Mallory | Emergency Medicine | 530 S Jackson St, Department of Emergency Medicine C1h17, Louisville, KY 40202-1675 | 2006-10-03 |
| Street Address |
401 HOLLY HILLS AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63111-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508867508 | Family Care Health Centers | Clinic/Center | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2005-08-02 |
| 1235758582 | Carmen Diane Purvis | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2020-04-15 |
| 1366071672 | Jessica Therese Auld | Family Medicine | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2020-04-07 |
| 1386273662 | Anthony Hang | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2020-04-07 |
| 1376172650 | Ryan Eric Allen | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2020-04-07 |
| 1710516091 | Dymon Morgan | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2020-04-07 |
| 1700433695 | Jessica Dawn Whitchurch | Nurse Practitioner | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2019-08-25 |
| 1790340438 | Marco Samuel Garcia | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111 | 2019-05-08 |
| 1902460231 | Hannah Jacobs Webber | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2019-04-22 |
| 1699238204 | Jacquelyn Adele Bailey | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291660 | Ebony Cannon | Behavior Technician | 7700 Minosotta Ave, St.louis, MO 63111 | 2018-07-06 |
| 1811310212 | Danny Brown | Home Health | 5328 Virginia, Saint Louis, MO 63111 | 2014-01-22 |
| 1548387681 | Raymond Joseph Skosky | Dentist | 5530 Virginia Avenue, Saint Louis, MO 63111 | 2007-03-23 |
| 1972666782 | Diane P Hamill | Optometrist | 1012 Loughborough Commons, St. Louis, MO 63111 | 2006-12-19 |
| 1073673828 | Bethesda Long Term Care, Inc. | Custodial Care Facility | 4431 South Broadway, St. Louis, MO 63111 | 2006-12-11 |
| 1669542668 | Anna D Naumovich | Internal Medicine | 5205 South Grand Ave, St Louis, MO 63111 | 2006-11-08 |
| 1417040114 | Tony Thien Tang | Internal Medicine | 4675 South Grand Blvd., St. Louis, MO 63111 | 2006-10-02 |
| 1790736171 | Robert Clarence Egan | Surgery | 3535 South Jefferson Ste 101, Ste 101, St Louis, MO 63111 | 2006-05-12 |
| 1154717593 | Nucrown, LLC | Optometrist | 1012 Loughborough Commons, Saint Louis, MO 63111 | 2015-04-13 |
| 1598070765 | Irene S Paul | Pharmacist | 1020 Loughborough Ave, Saint Louis, MO 63111 | 2010-08-12 |
| Find all providers in zip 63111 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407952062 | Theresa C Phillips | Nurse Practitioner | 1616 Industrial Dr, Cole County Health Department, Jefferson City, MO 65109-1471 | 2006-09-14 |
| 1023094240 | Beth M Schrage | Nurse Practitioner | 100 E Jackson St, Edina, MO 63537-1335 | 2005-12-20 |
| 1164635637 | Pamela Marie Bevan | Nurse Practitioner | 825 Euclid Ave, Kansas City, MO 64124-2323 | 2007-05-08 |
| 1427109115 | Lisa B Kail | Nurse Practitioner | 3065 William St, Suite 209, Cape Girardeau, MO 63703-6393 | 2007-01-16 |
| City | SAINT LOUIS |
| Zip Code | 63111 |
Please comment or provide details below to improve the information on MS. MARY L. MALLORY.
| 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.