Active NPIIndividual provider

Danielle L Mallory, APRN FNP-BC

Nurse Practitioner, Family in Uncasville, Connecticut

NPI Number1003478686
Practice location
620 Norwich New London Tpke, Uncasville, CT 06382-2121
Fax
—
Last updated
September 8, 2021

Danielle Lee Mallory is a Nurse Practitioner, Family based in Uncasville, CT. Danielle Lee Mallory practices in Uncasville, CT and has the professional credentials of APRN FNP-BC. The NPI Number for Danielle Lee Mallory is 1003478686 and holds a License No. 8280 (CT). The current practice location address for Danielle Lee Mallory is 620 Norwich New London Tpke, Uncasville, CT 06382-2121 and can be reached out via phone at 860-892-8012.

Provider Profile Details

NPI Number
1003478686
Provider Name
Danielle Lee Mallory
Credential
APRN FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
620 Norwich New London Tpke, Uncasville, CT 06382-2121
Phone Number
860-892-8012
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
July 3, 2019
Last Update Date
September 8, 2021
Certification Date
September 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
620 Norwich New London Tpke
Uncasville, CT 06382-2121
Zip
06382-2121
Phone Number
860-892-8012
Uncasville, CT 06382Get directions →

Provider Business Mailing Address Details

Address
141 Way RD
Salem, CT 06420-3716
City
Salem
State
CT
Zip
06420-3716
Phone Number
860-949-4182

License Information

License Number
8280
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Danielle L Mallory, APRN FNP-BC?

The NPI number of Danielle L Mallory, APRN FNP-BC is 1003478686. It was assigned on July 3, 2019 and is currently active in the NPPES registry.

What is the specialty of Danielle L Mallory, APRN FNP-BC?

Danielle L Mallory, APRN FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 8280.

Where does Danielle L Mallory, APRN FNP-BC practice?

The practice location is 620 Norwich New London Tpke, Uncasville, CT 06382-2121. The office can be reached at 860-892-8012 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003478686 directly on the NPPES registry website.

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