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NPI Code Detail

MEDICARE: CHARLOTTE JANE MALONE DNP, CRNA

MEDICARE:   CHARLOTTE JANE MALONE  DNP, CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist1117626TX

General Provider Information

NPI Number : 1750078754
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLOTTE JANE MALONE DNP, CRNA
Provider Business Mailing Address
First Line : 130 HICKORY RIDGE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77024-6230
Country : US
Telephone Number : 832-335-9914
Fax Number :
Provider Business Practice Location Address
First Line : 1504 TAUB LOOP
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1608
Country : US
Telephone Number : 713-873-8890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2023
Last Update Date : 05/22/2026

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Directions to “ CHARLOTTE JANE MALONE DNP, CRNA” Practice Location

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