Healthcare Provider Details

I. General information

NPI: 1891407896
Provider Name (Legal Business Name): APRIL MALONEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2022
Last Update Date: 12/21/2022
Certification Date: 12/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US

IV. Provider business mailing address

PO BOX 438
TRACYS LANDING MD
20779-0438
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-5456
  • Fax:
Mailing address:
  • Phone: 443-532-4554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberNP1022449
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: