Individual provider · Type 1 NPI

Ryan Holley - Mallo, DNP, FNP-C

Primary Care Nurse Practitioner · Novi, MI

NPI number 1992094403 Active

Practice location

41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818

Mailing address

100 Cherry St SE # MC845
Grand Rapids, MI 49503-4526

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X4704259565 (MI)
Primary Care Nurse Practitioner Primary 363LP2300X4704259565 (MI)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1992094403

Ryan Holley - Mallo, DNP, FNP-C's National Provider Identifier is 1992094403, issued on Apr 5, 2011. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Novi, MI. The record was last updated on Mar 28, 2025.