Individual provider · Type 1 NPI

Mallory Leigh Ketterer, NP

Family Nurse Practitioner · Elkridge, MD

NPI number 1144821968 Active

Practice location

6675 Business Pkwy Ste F
Elkridge, MD 21075-6349

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200XRN177978 (AZ)
Family Nurse Practitioner Primary 363LF0000X255819 (AZ)

Family Nurse Practitioner: Definition to come...

16 other providers at this address

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About NPI 1144821968

Mallory Leigh Ketterer, NP's National Provider Identifier is 1144821968, issued on Nov 6, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Elkridge, MD. The record was last updated on Aug 28, 2023.