Individual provider · Type 1 NPI

Mary Leanora Mallernee

Family Nurse Practitioner · Shiprock, NM

NPI number 1407846801 Active

Practice location

US Hwy 491 N
Shiprock, NM 87420

Fax (505) 368-6431

Mailing address

PO Box 160
Shiprock, NM 87420-0160

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR49684 (NM)
Family Nurse Practitioner Primary 363LF0000XR49684 (NM)

Family Nurse Practitioner: Definition to come...

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About NPI 1407846801

Mary Leanora Mallernee's National Provider Identifier is 1407846801, issued on Oct 26, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shiprock, NM. The record was last updated on Jan 16, 2008.