Individual provider · Type 1 NPI

Mallory Haslam

Adult Health Nurse Practitioner · Orlando, FL

NPI number 1700710795 Active

Practice location

52 Underwood St
Orlando, FL 32806-1110

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X11041528 (FL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1700710795

Mallory Haslam's National Provider Identifier is 1700710795, issued on Jun 12, 2026. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Orlando, FL. The record was last updated on Jun 12, 2026.