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Mallory Ann Myslenski, AGNP-C
Nurse Practitioner in Wyoming, Michigan
NPI 1366937716

Mallory Ann Myslenski is a Nurse Practitioner based in Wyoming, MI. Mallory Ann Myslenski practices in Wyoming, MI and has the professional credentials of AGNP-C. The NPI Number for Mallory Ann Myslenski is 1366937716 and holds a License No. AG06180160 (Michigan).

The current practice location address for Mallory Ann Myslenski is 2122 Health Dr Sw Ste 133, Wyoming, MI and can be reached out via phone at 616-252-5950 and via fax at 616-252-5956.

Location: 2122 Health Dr Sw Ste 133, Wyoming, MI, 49519-9606
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Provider Profile Details
NPI Number
1366937716
Provider Name
Mallory Ann Myslenski
Credential
AGNP-C
Provider Entity Type
Individual
Gender
Female
Address
2122 Health Dr Sw Ste 133, Wyoming, MI, 49519-9606
Phone Number
616-252-5950
Fax Number
616-252-5956
Provider Enumeration Date
06/28/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1366937716 05 MI
institution
Provider Business Practice Location Address Details
Address
2122 Health Dr Sw Ste 133
City
State
Zip
49519-9698
Phone Number
616-252-5950
Fax Number
616-252-5956
person
Provider Business Mailing Address Details
Address
2122 Health Dr Sw Ste 133
City
State
Zip
49519-9698
Phone Number
616-252-5950
Fax Number
616-252-5956
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
AG06180160 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
AG06180160 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
AG06180160 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
AG06180160 (Michigan)
Definition
Definition to come...
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