MRS. MAUREEN ANNE MALLOY (NPI# 1376643734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376643734 |
| Entity Type | Individual |
| Full Name | MRS. MAUREEN ANNE MALLOY |
| Credential | C.N.S.,R.N. |
| Practice Address |
2001 Bloomington Ave Minneapolis MN 55404-3074 |
| Mailing Address |
3536 47th Ave S Minneapolis MN 55406-2939 |
| Practice Telephone | 6123013433 |
| Practice Fax Number | 6126274205 |
| Mailing Telephone | 6127213066 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2014-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | R056685-8 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2001 BLOOMINGTON AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-3074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184694101 | Marjore Irene Thompson | Social Worker | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2006-01-23 |
| 1851991616 | Anneta Babikova Tangness | Registered Nurse | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2020-10-29 |
| 1811549074 | Ann Josie Riggall | Dietitian, Registered | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2019-07-09 |
| 1164086807 | Nima Ibrahim Odowa | Dentist | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2019-04-29 |
| 1386146942 | Julie Marie Klemond | Dental Therapist | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2018-02-28 |
| 1043720824 | Andrea Charlotte Davis | Nurse Practitioner | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2017-10-05 |
| 1609398056 | Morgan Kelsey Stoa | Pharmacist | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2017-07-07 |
| 1154876233 | Sadiya Bule | Registered Nurse | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2016-08-18 |
| 1417400870 | Nancy Joseph-goldfarb | Social Worker | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2016-08-02 |
| 1669821708 | Anna Vangsness | Social Worker | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2016-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255761821 | Karen Mary Gmitro Prieto | Clinical Nurse Specialist | 913 E 26th St # 401, Minneapolis, MN 55404-4515 | 2013-11-19 |
| 1417901109 | Jodie Duntley | Clinical Nurse Specialist | 701 Park Ave # S1, Minneapolis, MN 55415-1623 | 2006-05-19 |
| 1164419644 | Elisa M Smith | Clinical Nurse Specialist | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2005-09-30 |
| 1235743584 | Nicole Ji-hae Johnson | Clinical Nurse Specialist | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2020-09-03 |
| 1013178490 | Janet Mae Swanson | Clinical Nurse Specialist | 701 Park Ave South, Hennepin County Medical Center/revenue Management, Minneapolis, MN 55415 | 2008-06-19 |
| 1528258795 | Karen M Leaman | Clinical Nurse Specialist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2007-07-25 |
| 1659469948 | Nancy Gayle Gauthier | Clinical Nurse Specialist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-10-11 |
| 1558455097 | Mildred L Caspersen | Clinical Nurse Specialist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2006-10-02 |
| 1942392014 | Debra Ann Herbaugh | Clinical Nurse Specialist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-09-28 |
| 1538269568 | Sharon Lucille Lehmann | Clinical Nurse Specialist | 500 Harvard Street Se, University of Minnesota Medical Center, Fairview, Minneapolis, MN 55455-0363 | 2006-09-22 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
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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.