MALLORY LEIGH KETTERER (NPI# 1144821968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144821968 |
| Entity Type | Individual |
| Full Name | MALLORY LEIGH KETTERER |
| Credential | RN |
| Practice Address |
7837 N Box Camp Pl Tucson AZ 85743-5545 |
| Practice Telephone | 6027698604 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN177978 | AZ | Nursing Service Providers |
| Street Address |
7837 N BOX CAMP PL |
| City | TUCSON |
| State | AZ |
| Zip Code | 85743-5545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356857338 | Catherine Fisher | Massage Therapist | 7455 W Twin Peaks Rd Ste 111, Tucson, AZ 85743 | 2017-12-28 |
| 1497128995 | Cherie Kay Gaither | Registered Nurse | 3233 S. Pinal Vista, Tucson, AZ 85743 | 2015-11-05 |
| 1487939211 | Spanish Trail Pediatric Dental Partners, LLP | Dentist | 9565 E. 22nd Street Suite 143, Tucson, AZ 85743 | 2011-10-12 |
| 1174745319 | Hanna Phan | Pharmacist | 1295 North Martin Ave, Tucson, AZ 85743 | 2007-05-03 |
| 1912034695 | Carmen Ruiz Drummond | Psychiatry & Neurology | 8185 N Stonehill Dr, Tucson, AZ 85743 | 2007-02-28 |
| 1356492193 | Diane E. Carrillo | Physical Therapist | 7759 N Silverbell Rd Apt 10105, Tucson, AZ 85743 | 2007-01-16 |
| 1174696496 | Nationwide Vision Center, LLC | Technician/Technologist | 5960 West Pavillions Drive, Suite 130, Tucson, AZ 85743 | 2006-11-16 |
| 1205921202 | Foothills Sports Medicine & Rehabilitation- Tucson, Inc | Physical Therapist | 7575 W. Twin Peaks Rd, Suite 155, Tucson, AZ 85743 | 2006-10-04 |
| 1679682900 | Northwest Medical Center Ct Mri At Marana LLC | Clinic/Center | 8333 N Silverbell, Suite 121, Marana, AZ 85743 | 2006-08-30 |
| 1508875923 | Brian James Midei | Dentist | 8295 N Cortaro Road, Suite 137, Tucson, AZ 85743 | 2006-08-05 |
| Find all providers in zip 85743 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378994 | Marie Reina Andriopoulos | Registered Nurse | 7751 E Big Meadow Dr, Tucson, AZ 85756-6160 | 2020-08-25 |
| 1013529700 | Evelyn Long | Registered Nurse | 12500 E Roger Rd, Tucson, AZ 85749-8487 | 2020-08-23 |
| 1588276992 | Eric Smith | Registered Nurse | 3640 W Sunglade Dr, Tucson, AZ 85742-1134 | 2020-08-18 |
| 1326505173 | Tana Jay Shields | Registered Nurse | 5877 W Yuma Mine Cir, Tucson, AZ 85743-9717 | 2019-02-28 |
| 1902363880 | Ammon Brimhall | Registered Nurse | 4550 E 16th St, Tucson, AZ 85711-4230 | 2019-02-27 |
| 1487255063 | Brooke Holtzen | Registered Nurse | 6200 N La Cholla Blvd, Tucson, AZ 85741-3529 | 2020-11-02 |
| 1144832304 | Suzannah Gallaher | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-19 |
| 1497367502 | Nichole Carrigan | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-19 |
| 1184236531 | Jeremiah James Palicka | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-18 |
| 1356953665 | Emma Muter | Registered Nurse | 1305 N Martin Avenue, Tucson, AZ 85721-0001 | 2020-08-18 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.