Individual provider · Type 1 NPI

Mallory Anne Smallze

Nurse Practitioner · Fair Lawn, NJ

NPI number 1053045203 Active

Practice location

22-18 Broadway
Fair Lawn, NJ 07410-3016

Call (201) 414-9840 Map

Mailing address

13 Dorothy Ave
Rochelle Park, NJ 07662-3303

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26NJ01325700 (NJ)

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 1053045203

Mallory Anne Smallze's National Provider Identifier is 1053045203, issued on Jul 13, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fair Lawn, NJ. The record was last updated on Jul 13, 2022.