person
Mallory Lynne Mizvitowicz, CRNP
Psychiatric/Mental Health Nurse Practitioner in Broomall, Pennsylvania
NPI 1427815042

Mallory Lynne Mizvitowicz is a Psychiatric/Mental Health Nurse Practitioner based in Ridley Park, PA and is specialized in Psychiatric/Mental Health. Mallory Lynne Mizvitowicz practices in Broomall, PA and has the professional credentials of CRNP. The NPI Number for Mallory Lynne Mizvitowicz is 1427815042 and holds a License No. SP028758 (Pennsylvania).

The current practice location address for Mallory Lynne Mizvitowicz is 2002 Sproul Rd Fl 3, Broomall, PA and can be reached out via phone at 610-626-8085. You can also correspond with Mallory Lynne Mizvitowicz through the mailing address at 207 W DUPONT ST, RIDLEY PARK, PA - 19078-3207 (mailing address contact number: 215-605-9015).

Location: 2002 Sproul Rd Fl 3, Broomall, PA, 19078-3207
person
Provider Profile Details
NPI Number
1427815042
Provider Name
Mallory Lynne Mizvitowicz
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
2002 Sproul Rd Fl 3, Broomall, PA, 19078-3207
Phone Number
610-626-8085
Fax Number
Provider Enumeration Date
02/29/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2002 Sproul Rd Fl 3
City
State
Zip
19008-3510
Phone Number
610-626-8085
Fax Number
person
Provider Business Mailing Address Details
Address
2002 Sproul Rd Fl 3
City
State
Zip
19008-3510
Phone Number
610-626-8085
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
SP028758 (Pennsylvania)
Definition
Definition to come...
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