Individual provider · Type 1 NPI
Joel Mallari, NP, CNS
Critical Care Medicine Clinical Nurse Specialist · San Leandro, CA
NPI number
1407334543
Active
Practice location
2500 Merced St
San Leandro, CA 94577-4201
Other practice locations
- 89 Lincoln Blvd Ste 100, Lincoln, CA 95648-8096 · (916) 543-1593
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 95010692 (CA) |
| Critical Care Medicine Clinical Nurse Specialist Primary | 364SC0200X | 3513 (CA) |
Critical Care Medicine Clinical Nurse Specialist: Definition to come...
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About NPI 1407334543
Joel Mallari, NP, CNS's National Provider Identifier is 1407334543, issued on Jul 31, 2018. The primary taxonomy on file is Critical Care Medicine Clinical Nurse Specialist (364SC0200X), and the practice location is in San Leandro, CA. The record was last updated on Jun 11, 2019.