Healthcare Provider Details

I. General information

NPI: 1770813859
Provider Name (Legal Business Name): MALONE'S NURSING CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2010
Last Update Date: 01/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ELIZABETH PL
DAYTON OH
45417-3445
US

IV. Provider business mailing address

1153 BERYL TRL
DAYTON OH
45459-3938
US

V. Phone/Fax

Practice location:
  • Phone: 937-660-3090
  • Fax: 937-222-2264
Mailing address:
  • Phone: 937-648-1459
  • Fax: 937-648-1459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SC1501X
TaxonomyCommunity Health/Public Health Clinical Nurse Specialist
License NumberNS-08913
License Number StateOH

VIII. Authorized Official

Name: ROSE M MALONE-JONES
Title or Position: CEO
Credential: CNS
Phone: 937-660-3090