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NPI Code Detail

MEDICARE: CHRISTINA R. MALLOY PMHNP

MEDICARE: CHRISTINA R. MALLOY PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerL8-0000140DE
2163W00000XRegistered NurseL1-0037990DE

General Provider Information

NPI Number : 1699131243
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA R. MALLOY PMHNP
Provider Business Mailing Address
First Line : 100 COMMERCE DR STE 300
Second Line :
City : NEWARK
State : DE
Zip : 19713-2878
Country : US
Telephone Number : 302-224-1400
Fax Number :
Provider Business Practice Location Address
First Line : 100 COMMERCE DR STE 300
Second Line :
City : NEWARK
State : DE
Zip : 19713-2878
Country : US
Telephone Number : 302-224-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2016
Last Update Date : 01/20/2026

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