Individual provider · Type 1 NPI
Mallorie M. Haba, FNP
Family Nurse Practitioner · Charlottesville, VA
NPI number
1992378095
Active
Practice location
1240 Lee St
Charlottesville, VA 22908-3765
Fax (434) 244-7526
Mailing address
PO Box 749112
Atlanta, GA 30374-9112
Other practice locations
- 1215 Lee St, Charlottesville, VA 22908-3765 · (434) 924-2504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 0024181481 (VA) |
| Family Nurse Practitioner Primary | 363LF0000X | 0024181481 (VA) |
Family Nurse Practitioner: Definition to come...
129 other providers at this address
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About NPI 1992378095
Mallorie M. Haba, FNP's National Provider Identifier is 1992378095, issued on Jul 19, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlottesville, VA. The record was last updated on Sep 29, 2026.