Individual provider · Type 1 NPI

Malory Manders Northrup, LPN

Licensed Practical Nurse · Dublin, GA

NPI number 1104592435 Active

Practice location

1826 Veterans Blvd
Dublin, GA 31021-3620

Mailing address

285 Creekside Dr
Vienna, GA 31092-5921

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN097369 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104592435

Malory Manders Northrup, LPN's National Provider Identifier is 1104592435, issued on Aug 17, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dublin, GA. The record was last updated on Aug 17, 2021.