Individual provider · Type 1 NPI

Suzanne T. Mallatt, NP

Nurse Practitioner · Miami, OK

NPI number 1417984352 Active

Practice location

7600 S Highway 69A
Miami, OK 74354-1016

Fax (918) 540-1685

Mailing address

9473 SE 80th Ter
Baxter Springs, KS 66713-3278

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X147011 (MO)

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 1417984352

Suzanne T. Mallatt, NP's National Provider Identifier is 1417984352, issued on Jun 27, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Miami, OK. The record was last updated on Dec 19, 2012.