Active NPIIndividual provider

Suzanne F Malloy, NP MSN

Nurse Practitioner, Pediatrics in Agawam, Massachusetts

NPI Number1174780175
Practice location
230 Main St, Agawam, MA 01001-1838
Fax
—
Last updated
December 6, 2023

Suzanne Flint Malloy is a Nurse Practitioner, Pediatrics based in Agawam, MA. Suzanne Flint Malloy practices in Agawam, MA and has the professional credentials of NP MSN. The NPI Number for Suzanne Flint Malloy is 1174780175 and holds a License No. 165493 (MA). The current practice location address for Suzanne Flint Malloy is 230 Main St, Agawam, MA 01001-1838 and can be reached out via phone at 413-789-6800.

Provider Profile Details

NPI Number
1174780175
Provider Name
Suzanne Flint Malloy
Credential
NP MSN
Provider Entity Type
Individual
Gender
Female
Address
230 Main St, Agawam, MA 01001-1838
Phone Number
413-789-6800
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
May 19, 2008
Last Update Date
December 6, 2023
Certification Date
December 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
230 Main St
Agawam, MA 01001-1838
City
Agawam
Zip
01001-1838
Phone Number
413-789-6800
Agawam, MA 01001Get directions →

Provider Business Mailing Address Details

Address
230 Main St
Agawam, MA 01001-1838
City
Agawam
State
MA
Zip
01001-1838
Phone Number
413-789-6800

License Information

License Number
165493
License State
MA
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · 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 Suzanne F Malloy, NP MSN?

The NPI number of Suzanne F Malloy, NP MSN is 1174780175. It was assigned on May 19, 2008 and is currently active in the NPPES registry.

What is the specialty of Suzanne F Malloy, NP MSN?

Suzanne F Malloy, NP MSN is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number 165493.

Where does Suzanne F Malloy, NP MSN practice?

The practice location is 230 Main St, Agawam, MA 01001-1838. The office can be reached at 413-789-6800 (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 1174780175 directly on the NPPES registry website.

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