Individual provider · Type 1 NPI
Lisa Malak, AGNP-C
Gerontology Nurse Practitioner · Bay Head, NJ
NPI number
1093365199
Active
Practice location
106 Bridge Ave Ste 6
Bay Head, NJ 08742-5073
Mailing address
400 Earl Dr
Brick, NJ 08723-6470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00963300 (NJ) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 26NJ00963300 (NJ) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1093365199
Lisa Malak, AGNP-C's National Provider Identifier is 1093365199, issued on Sep 19, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Bay Head, NJ. The record was last updated on May 9, 2024.