Mallory A Freeman, APRN
Nurse Practitioner, Psych/Mental Health in East Berlin, Connecticut
1255009056- Practice location
- 1224 Mill St, East Berlin, CT 06023-1159
- Phone
- 860-348-5650
- Fax
- 860-855-7708
- Last updated
- July 1, 2026
Mallory Alexis Freeman is a Nurse Practitioner, Psych/Mental Health based in East Berlin, CT. Mallory Alexis Freeman practices in East Berlin, CT and has the professional credentials of APRN. The NPI Number for Mallory Alexis Freeman is 1255009056 and holds a License No. 10018 (CT). The current practice location address for Mallory Alexis Freeman is 1224 Mill St, East Berlin, CT 06023-1159 and can be reached out via phone at 860-348-5650 and via fax at 860-855-7708.
Provider Profile Details
- NPI Number
- 1255009056
- Provider Name
- Mallory Alexis Freeman
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1224 Mill St, East Berlin, CT 06023-1159
- Phone Number
- 860-348-5650
- Fax Number
- 860-855-7708
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 6, 2021
- Last Update Date
- July 1, 2026
- Certification Date
- July 1, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1224 Mill St
East Berlin, CT 06023-1159 - City
- East Berlin
- State
- Connecticut
- Zip
- 06023-1159
- Phone Number
- 860-348-5650
- Fax Number
- 860-855-7708
Provider Business Mailing Address Details
- Address
- 9 Arnold Dr
East Hartford, CT 06108-2909 - City
- East Hartford
- State
- CT
- Zip
- 06108-2909
- Phone Number
- 860-348-5650
- Fax Number
- 860-855-7708
License Information
- License Number (1)
- 10018
- License State (1)
- CT
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X
- License Number (2)
- 126588
- License State (2)
- CT
- Taxonomy (2)
- Registered Nurse · 163W00000X
- License Number (3)
- 10018
- License State (3)
- CT
- Taxonomy (3)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mallory A Freeman, APRN?
The NPI number of Mallory A Freeman, APRN is 1255009056. It was assigned on September 6, 2021 and is currently active in the NPPES registry.
What is the specialty of Mallory A Freeman, APRN?
Mallory A Freeman, APRN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 10018.
Where does Mallory A Freeman, APRN practice?
The practice location is 1224 Mill St, East Berlin, CT 06023-1159. The office can be reached at 860-348-5650 (phone) or 860-855-7708 (fax).
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 1255009056 directly on the NPPES registry website.