Individual provider · Type 1 NPI

Stacy S. Mallare

Psychiatric/Mental Health Nurse Practitioner · Owings Mills, MD

NPI number 1639540420 Active

Practice location

221 Oliver Heights Rd
Owings Mills, MD 21117-5074

Call (410) 718-3213 Map

Fax (980) 500-1063

Mailing address

9722 Groffs Mill Dr # 735
Owings Mills, MD 21117-6341

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR186082 (MD)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1639540420

Stacy S. Mallare's National Provider Identifier is 1639540420, issued on Oct 19, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Owings Mills, MD. The record was last updated on Jun 2, 2026.