Active NPIIndividual provider

Corey K Malan

Nurse Practitioner, Family in North Haven, Connecticut

NPI Number1629783964
Practice location
392 State St Apt 8K, North Haven, CT 06473-3140
Fax
—
Last updated
October 31, 2024

Corey Kyle Malan is a Nurse Practitioner, Family based in North Haven, CT. Corey Kyle Malan practices in North Haven, CT. The NPI Number for Corey Kyle Malan is 1629783964 and holds a License No. 11403 (CT). The current practice location address for Corey Kyle Malan is 392 State St Apt 8K, North Haven, CT 06473-3140 and can be reached out via phone at 860-977-2450.

Provider Profile Details

NPI Number
1629783964
Provider Name
Corey Kyle Malan
Provider Entity Type
Individual
Gender
Male
Address
392 State St Apt 8K, North Haven, CT 06473-3140
Phone Number
860-977-2450
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
January 20, 2023
Last Update Date
October 31, 2024
Certification Date
October 31, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
392 State St Apt 8K
North Haven, CT 06473-3140
Zip
06473-3140
Phone Number
860-977-2450
North Haven, CT 06473Get directions →

Provider Business Mailing Address Details

Address
119 Forest Hill RD
North Haven, CT 06473-4301
City
North Haven
State
CT
Zip
06473-4301
Phone Number
860-977-2450

License Information

License Number
11403
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 Corey K Malan?

The NPI number of Corey K Malan is 1629783964. It was assigned on January 20, 2023 and is currently active in the NPPES registry.

What is the specialty of Corey K Malan?

Corey K Malan is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 11403.

Where does Corey K Malan practice?

The practice location is 392 State St Apt 8K, North Haven, CT 06473-3140. The office can be reached at 860-977-2450 (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 1629783964 directly on the NPPES registry website.

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