Jacque Marie Malley PHN RN

NPI 1396887055 - Registered Nurse - 163W00000X

NPI Details
NPI 1396887055
Gender Female
Enumeration Date 02/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
745 RUSSEL ST
NWCOVNA PUBLIC HEALTH OFFICE
CRAIG CO, 81625, US
Phone (970) 824-8233
Fax (970) 824-2548
Business Location
745 RUSSEL ST
CRAIG CO, 81625, US
Phone
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Colorado
License Number 44599
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According to our database, Mrs. Jacque Marie Malley PHN RN NPI is 1396887055, taxonomy code is 163W00000X and license number is 44599, license state is located at Colorado. Jacque Marie Malley PHN RN physically located at 745 Russel St, Craig CO, 81625. NPI Number Jacque Marie Malley PHN RN has the Individual type.

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1396887055 NPI number is provided on an as is basis without warranty of any kind. 1396887055 is maintained by the National Plan & Provider Enumeration System. The contents of Jacque Marie Malley PHN RN are for informational purposes only.