Individual provider · Type 1 NPI
Mallory Ann Myslenski, AGNP-C
Nurse Practitioner · Wyoming, MI
Practice location
2122 Health Dr SW Ste 133
Wyoming, MI 49519-9698
Fax (616) 252-5956
Mailing address
5900 Byron Center Ave SW, Medical Administration
Wyoming, MI 49519-9606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | AG06180160 (MI) |
| Primary Care Nurse Practitioner | 363LP2300X | AG06180160 (MI) |
| Adult Health Nurse Practitioner | 363LA2200X | AG06180160 (MI) |
| Gerontology Nurse Practitioner | 363LG0600X | AG06180160 (MI) |
| Nurse Practitioner Primary | 363L00000X | 4704301141 (MI) |
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 1366937716
Mallory Ann Myslenski, AGNP-C's National Provider Identifier is 1366937716, issued on Jun 28, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wyoming, MI. The record was last updated on Feb 5, 2019.