person
Dyan M Mallette, FNP
Family Nurse Practitioner in Canton, New York
NPI 1669502662

Dyan M Mallette is a Family Nurse Practitioner based in Ogdensburg, NY and is specialized in Family. Dyan M Mallette practices in Canton, NY and has the professional credentials of FNP. The NPI Number for Dyan M Mallette is 1669502662 and holds a License No. 333467 (New York).

The current practice location address for Dyan M Mallette is 9 Miner St, Canton, NY and can be reached out via phone at 315-386-8821 and via fax at 315-386-4723.

Location: 9 Miner St, Canton, NY, 13669-4223
person
Provider Profile Details
NPI Number
1669502662
Provider Name
Dyan M Mallette
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
9 Miner St, Canton, NY, 13669-4223
Phone Number
315-386-8821
Fax Number
315-386-4723
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00583697 05 NY
institution
Provider Business Practice Location Address Details
Address
9 Miner St
City
State
Zip
13617-1208
Phone Number
315-386-8821
Fax Number
315-386-4723
person
Provider Business Mailing Address Details
Address
9 Miner St
City
State
Zip
13617-1208
Phone Number
315-386-8821
Fax Number
315-386-4723
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
333467 (New York)
Definition
Definition to come...
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