Malissa Hallahan
Nurse Practitioner
1500 Florida Ave
Modesto
, California 95350-4408
Malissa Hallahan
Nurse Practitioner
1500 Florida Ave
Modesto
, California 95350-4408
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Malissa Hallahan
- 737 W Childs Ave
- Merced, CA
- Zip : 95341-6805
- Phone :
Second Address
- Malissa Hallahan
- 1500 Florida Ave
- Modesto, CA
- Zip : 95350-4408
- Fax : (877) 435-6573
- Phone : (866) 682-4842
Reviews
FAQs
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Is Malissa Hallahan a sole practitioner?
Is Malissa Hallahan accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP95013990 | CA |
National Provider Identifier
| NPI | 1003379207 |
|---|---|
| Provider Name | Malissa Hallahan |
| First Address | Merced, CA 95341-6805 |
| Second Address | Modesto, CA 95350-4408 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2019 |
| Last Update Date | 03/03/2020 |
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.