Individual provider · Type 1 NPI

Mallory Sandridge, NP

Family Nurse Practitioner · Monterey, CA

NPI number 1861854572 Active

Practice location

5 Harris Court, Building T, Suite 201
Monterey, CA 93940-5750

Call (831) 375-4105 Map

Fax (831) 372-5722

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X0024173408 (VA)
Nurse Practitioner 363L00000X95010564 (CA)
Family Nurse Practitioner Primary 363LF0000X0024173408 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1861854572

Mallory Sandridge, NP's National Provider Identifier is 1861854572, issued on Mar 22, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Monterey, CA. The record was last updated on Feb 6, 2024.