Individual provider · Type 1 NPI
Mallory Fawns
Psychiatric/Mental Health Registered Nurse · Carmichael, CA
NPI number
1821493859
Active
Practice location
6501 Coyle Ave
Carmichael, CA 95608-0306
Other practice locations
- 101 Cirby Hills Dr, Roseville, CA 95678-4360 · (916) 787-8848
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 844690 (CA) |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 844690 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1821493859
Mallory Fawns's National Provider Identifier is 1821493859, issued on Nov 4, 2014. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Carmichael, CA. The record was last updated on May 31, 2019.