Individual provider · Type 1 NPI

Mallory Elizabeth Morris Stanislawczyk, CRNP

Pediatric Nurse Practitioner · Frederick, MD

NPI number 1588110795 Active

Practice location

1475 Taney Ave, Suite 105
Frederick, MD 21702-4747

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	R223524 (MD)
Pediatric Nurse Practitioner	363LP0200X	SP016104 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1588110795

Mallory Elizabeth Morris Stanislawczyk, CRNP's National Provider Identifier is 1588110795, issued on Aug 28, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Frederick, MD. The record was last updated on May 10, 2017.