Individual provider · Type 1 NPI

Kedeshia Malin, NP

Nurse Practitioner · Worcester, MA

NPI number 1124664313 Active

Practice location

5 Neponset St
Worcester, MA 01606-2714

Other practice locations

  • 366 Shrewsbury St, Worcester, MA 01604-4647 · (508) 595-2700

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN2292522 (MA)

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 1124664313

Kedeshia Malin, NP's National Provider Identifier is 1124664313, issued on Nov 21, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Worcester, MA. The record was last updated on Apr 13, 2026.