Individual provider · Type 1 NPI

Mallory Sue Pine

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1003624735 Active

Practice location

340 W 10th St Ste 6200
Indianapolis, IN 46202-3082

Call (314) 274-8157 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003624735

Mallory Sue Pine's National Provider Identifier is 1003624735, issued on Dec 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Dec 27, 2024.