Beverly Mallon
Nurse Practitioner - Neonatal
412 Libbie Ave Suite 4
Richmond
, Virginia 23226-2659
Beverly Mallon
Nurse Practitioner - Neonatal
412 Libbie Ave Suite 4
Richmond
, Virginia 23226-2659
(804) 282-9082
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Beverly Mallon
- 412 Libbie Ave Suite 4
- Richmond, VA
- Zip : 23226-2659
- Fax : (804) 282-9082
- Phone : (804) 282-8082
Second Address
- Beverly Mallon
- 412 Libbie Ave Suite 4
- Richmond, VA
- Zip : 23226-2659
- Fax : (804) 282-9082
- Phone : (804) 282-8082
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 0024167392 | VA |
National Provider Identifier
| NPI | 1134309669 |
|---|---|
| Provider Name | Beverly Mallon |
| First Address | Richmond, VA 23226-2659 |
| Second Address | Richmond, VA 23226-2659 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/11/2007 |
| Last Update Date | 13/11/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.