person
Theresa Malcom, FNP
Family Nurse Practitioner in Elkhart, Indiana
NPI 1871224576

Theresa Malcom is a Family Nurse Practitioner based in Granger, IN and is specialized in Family. Theresa Malcom practices in Elkhart, IN and has the professional credentials of FNP. The NPI Number for Theresa Malcom is 1871224576 and holds a License No. F05220661 (Indiana).

The current practice location address for Theresa Malcom is 500 Arcade Ave Ste 210, Elkhart, IN and can be reached out via phone at 574-389-5656 and via fax at 574-523-7891.

Location: 500 Arcade Ave Ste 210, Elkhart, IN, 46530-1380
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Provider Profile Details
NPI Number
1871224576
Provider Name
Theresa Malcom
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
500 Arcade Ave Ste 210, Elkhart, IN, 46530-1380
Phone Number
574-389-5656
Fax Number
574-523-7891
Provider Enumeration Date
06/22/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300068982 05 IN
236040463 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
500 Arcade Ave Ste 210
City
State
Zip
46514
Phone Number
574-389-5656
Fax Number
574-523-7891
person
Provider Business Mailing Address Details
Address
500 Arcade Ave Ste 210
City
State
Zip
46514
Phone Number
574-389-5656
Fax Number
574-523-7891
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
71012835A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F05220661 (Indiana)
Definition
Definition to come...
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