Individual provider · Type 1 NPI
Mallory Faust, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Newark, DE
NPI number
1235977075
Active
Practice location
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Fax (252) 250-2375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AC006879 (MD) |
| Registered Nurse | 163W00000X | L1-0070369 (DE) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | L8-0010686 (DE) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1235977075
Mallory Faust, APRN, PMHNP-BC's National Provider Identifier is 1235977075, issued on Jul 16, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Newark, DE. The record was last updated on Apr 20, 2026.