Individual provider · Type 1 NPI
Mallory Goetz, AGACNP-BC
Acute Care Nurse Practitioner · Baltimore, MD
NPI number
1356854582
Active
Practice location
22 S Greene St
Baltimore, MD 21201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | R231169 (MD) |
| Acute Care Nurse Practitioner | 363LA2100X | AP135634 (TX) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1356854582
Mallory Goetz, AGACNP-BC's National Provider Identifier is 1356854582, issued on Nov 9, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Baltimore, MD. The record was last updated on Oct 13, 2025.