Individual provider · Type 1 NPI

Mallory Maryn Urban

Student in an Organized Health Care Education/Training Program · Spokane, WA

NPI number 1740135086 Active

Practice location

101 W 8th Ave
Spokane, WA 99204-2307

Mailing address

3193 N Atlas Rd Apt 203
Coeur D Alene, ID 83814-6367

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X65281 (ID)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740135086

Mallory Maryn Urban's National Provider Identifier is 1740135086, issued on Mar 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Spokane, WA. The record was last updated on Mar 2, 2026.