Theresa Kimberley Malmon-berg M.S.N., C.N.P.

NPI 1013139021 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1013139021
Gender Female
Enumeration Date 05/02/2007
Last Updated 07/27/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
1740 CLEVELAND RD
WOOSTER OH, 44691-2204, US
Phone (330) 287-4500
Fax
Business Location
907 FOREST DR.
WOOSTER OH, 44691, US
Phone (330) 262-4501
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Ohio
License Number NP05937
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According to our database, Ms. Theresa Kimberley Malmon-berg M.S.N., C.N.P. NPI is 1013139021, taxonomy code is 363LF0000X and license number is NP05937, license state is located at Ohio. Theresa Kimberley Malmon-berg M.S.N., C.N.P. physically located at 1740 Cleveland Rd, Wooster OH, 44691-2204. NPI Number Theresa Kimberley Malmon-berg M.S.N., C.N.P. has the Individual type.

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1013139021 NPI number is provided on an as is basis without warranty of any kind. 1013139021 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Kimberley Malmon-berg M.S.N., C.N.P. are for informational purposes only.