person
Stacy S Mallare
Psychiatric/Mental Health Nurse Practitioner in Columbia, Maryland
NPI 1639540420

Stacy S Mallare is a Psychiatric/Mental Health Nurse Practitioner based in Columbia, MD and is specialized in Psychiatric/Mental Health. Stacy S Mallare practices in Columbia, MD. The NPI Number for Stacy S Mallare is 1639540420 and holds a License No. R186082 (Maryland).

The current practice location address for Stacy S Mallare is 10954 Hilltop Ln, Columbia, MD and can be reached out via phone at 410-718-3213.

Location: 10954 Hilltop Ln, Columbia, MD, 21044-3780
person
Provider Profile Details
NPI Number
1639540420
Provider Name
Stacy S Mallare
Credential
Provider Entity Type
Individual
Gender
Female
Address
10954 Hilltop Ln, Columbia, MD, 21044-3780
Phone Number
410-718-3213
Fax Number
Provider Enumeration Date
10/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10954 Hilltop Ln
City
State
Zip
21044-3780
Phone Number
410-718-3213
Fax Number
person
Provider Business Mailing Address Details
Address
10954 Hilltop Ln
City
State
Zip
21044-3780
Phone Number
410-718-3213
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.
R186082 (Maryland)
Definition
Definition to come...
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