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NPI Code Detail

MEDICARE: MRS. MALAYNA MARIE MCINNIS FNP-C

MEDICARE: MRS. MALAYNA MARIE MCINNIS FNP-C
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
1363LF0000XFamily Nurse Practitioner71014890AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2F02240012OTHERINAMERICAN ACADEMY OF NURSE PRACTITIONERS
371014890BOTHERININ CSR
471014890AOTHERININ LICENSE
52023192793OTHERINAMERICAN NURSES CREDENTIALING CENTER
628240080AOTHERININ STATE RN LICENSE

General Provider Information

NPI Number : 1235909102
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MALAYNA MARIE MCINNIS FNP-C
Provider Business Mailing Address
First Line : 520 MARY ST STE 520
Second Line :
City : EVANSVILLE
State : IN
Zip : 47710-1682
Country : US
Telephone Number : 812-424-8231
Fax Number : 812-435-8794
Provider Business Practice Location Address
First Line : 520 MARY ST STE 520
Second Line :
City : EVANSVILLE
State : IN
Zip : 47710-1682
Country : US
Telephone Number : 812-424-8231
Fax Number : 812-435-8794
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2024
Last Update Date : 02/03/2026

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Directions to “ MRS. MALAYNA MARIE MCINNIS FNP-C” Practice Location

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