REGINA VICTORIA MALONEY


Address: 851 E 5th St Ste 300, Washington, MO 63090-3130
Phone: 6363908555

REGINA VICTORIA MALONEY (NPI# 1902315609) 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) 1902315609
Entity Type Individual
Full Name REGINA VICTORIA MALONEY
Credential RN, DNP, CPNP-PC
Practice Address 851 E 5th St Ste 300
Washington
MO 63090-3130
Practice Telephone 6363908555
Practice Fax Number 6363909444
Mailing Telephone 6363908555
Mailing Fax Number 6363909444
Enumeration Date 2017-09-25
Last Update Date 2020-01-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
20172102 MO Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
102 Laura K Dr, O Fallon, MO 633663990 6363799633

Office Location

Street Address 851 E 5TH ST STE 300
City WASHINGTON
State MO
Zip Code 63090-3130

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1831798792 Alicia Caroline Baker Nurse Practitioner 1070 W 7th St, Washington, MO 63090 2020-10-21
1962975839 Jennifer Biermann Pharmacist 801 E 5th Street, Washington, MO 63090 2019-01-03
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1699146712 Washington Community Counseling Center Community/Behavioral Health 421 W. 5th Street, Suite 110, Washington, MO 63090 2015-10-15
1598002024 Americare At Vicotrian Manor of Washington, LLC Assisted Living Facility 2701 Rabbit Trail Dr, Washington, MO 63090 2013-01-03
1578824116 Rhonda Ann Pepmiller Nurse Practitioner 851 E 5th St Ste 309, Washington, MO 63090 2012-05-30
1932486032 Julie Joanne Lynch Pharmacist 890 Country Corners, Washington, MO 63090 2011-11-03
1043590839 Laurie Elizabeth Bryson Counselor 102 Elm Street, Suite 204, Washington, MO 63090 2011-08-24
1164737490 Mohan Mallikarjuna Edupuganti Internal Medicine 901 Patients First Dr Ste 2500, Washington, MO 63090 2010-08-11
1154640225 Nicholas W Frederickson Internal Medicine 901 Patients First Drive Suite 3300, Washington, MO 63090 2010-05-27
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699391938 Janice B Agazio Nurse Practitioner Conway School of Nursing 620 Michigan Ave Ne, Washington, DC 20064-0001 2020-06-23
1225694805 Katherine Stein Nurse Practitioner 1400 Irving St Nw Apt 327, Washington, DC 20010-2872 2019-05-19
1376874024 Jessica Ann Wisniewski Nurse Practitioner 111 Michigan Avenue N.w., 4th Floor East, Washington, DC 20010 2010-01-20
1376786038 Demi Janel Oliver Nurse Practitioner 3409 Carpenter St Se, Washington, DC 20020-2333 2009-04-10
1215195458 Amy Brenner Corso Nurse Practitioner 4200 Wisconsin Ave Nw Ste 4, Washington, DC 20016-2143 2008-05-23
1346466786 Heidi Jane Johnson Nurse Practitioner 2440 M St Nw Ste 422, Washington, DC 20037-1404 2007-04-17
1952468118 Susan Lane Chaudry Nurse Practitioner 1630 Euclid St Nw, Washington, DC 20009-5675 2007-01-03
1730244062 Sharon Beckman Edelstein Nurse Practitioner 1901 Mississippi Ave Se, Washington, DC 20020-6117 2006-12-27
1598838864 Elizabeth Hawkins Nurse Practitioner 1525 Newton St Nw, Washington Free Clinic, Washington, DC 20010-3103 2006-11-16
1316981301 Diane Mary Hatcher Nurse Practitioner Walter Reed Army Medical Center, Dept of Pediatric, 6900 Georgia Ave Nw, Washington, DC 20307-0001 2006-06-16
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Competitor

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City WASHINGTON
Zip Code 63090

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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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