Individual provider · Type 1 NPI

Malissa Hallahan

Nurse Practitioner · Modesto, CA

NPI number 1003379207 Active

Practice location

1500 Florida Ave
Modesto, CA 95350-4408

Fax (877) 435-6573

Mailing address

737 W Childs Ave
Merced, CA 95341-6805

Specialties and licenses

TaxonomyCodeLicense
Maternal Newborn Registered Nurse 163WM0102X1-141039 (AL)
Nurse Practitioner Primary 363L00000XNP95013990 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003379207

Malissa Hallahan's National Provider Identifier is 1003379207, issued on Apr 13, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Modesto, CA. The record was last updated on Mar 3, 2020.