MARY MALONEY (NPI# 1710592175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710592175 |
| Entity Type | Individual |
| Full Name | MARY MALONEY |
| Credential | AGNP |
| Practice Address |
348 Westglen Dr Glen Carbon IL 62034-1002 |
| Practice Telephone | 6188065967 |
| Mailing Telephone | 6188065967 |
| Enumeration Date | 2020-09-12 |
| Last Update Date | 2020-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AG06200301 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528235900 | Mary Kathleen Maloney | Occupational Therapist | 1030 S Monroe Ave, Green Bay, WI 54301-3206 | 2008-05-14 |
| 1548310923 | Mary Beth Maloney | Social Worker | 164 Prentice St, Apt. 1, Holliston, MA 01746-1045 | 2007-01-10 |
| 1881236651 | Mary Kate Maloney | Nurse Practitioner | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2019-10-14 |
| 1598169070 | Mary Maloney | Nurse Practitioner | 5841 S Maryland Ave, Pulmonary Medicine, Chicago, IL 60637-1447 | 2014-10-13 |
| 1003003906 | Mary Kaye Maloney | Speech-Language Pathologist | 100 School Street, Dora Consolidated Schools, Dora, NM 88115-0327 | 2007-09-25 |
| 1629197017 | Mary Ellen Maloney | Physical Therapy Assistant | 535 S Freeborn St, Marion, KS 66861-1256 | 2007-03-28 |
| 1245316231 | Mary Angela Maloney | Midwife | 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 | 2006-10-31 |
| 1558464701 | Mary F Maloney | Nurse Anesthetist, Certified Registered | 403 Burkarth Rd, Warrensburg, MO 64093-3101 | 2006-09-06 |
| 1225144629 | Mary M Maloney | Psychiatry & Neurology | 310 E Dupont Rd, Suite 2, Fort Wayne, IN 46825-2048 | 2006-08-21 |
| 1528008422 | Mary Lowe Maloney | Physical Therapist | 22 Eagle Rd, Danbury, CT 06810-4129 | 2006-06-08 |
| Street Address |
348 WESTGLEN DR |
| City | GLEN CARBON |
| State | IL |
| Zip Code | 62034-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787795 | Kaleena Galletta | Nurse Practitioner | 4273 S., Il - 159, Glen Carbon, IL 62034 | 2018-04-06 |
| 1871092502 | Andrea Lee Sullivan | Dentist | 3024 South Il-159, Glen Carbon, IL 62034 | 2018-02-08 |
| 1417464918 | Stages Health & Wellness, LLC | Nurse Practitioner | 14 Crabapple Lane, Glen Carbon, IL 62034 | 2018-01-05 |
| 1700300498 | Michael Jay Arnold | Dentist | 3024 Il-159, Glen Carbon, IL 62034 | 2017-08-03 |
| 1679024228 | 360 Body Wellness Inc | Internal Medicine | 3407 Il State Route 157, Glen Carbon, IL 62034 | 2016-10-19 |
| 1346621505 | Stephanie N Lorts | Pediatrics | 4804 South State Route 159, Glen Carbon, IL 62034 | 2015-06-13 |
| 1205110111 | James Allan Staley | Pharmacist | #2 Cottonwood Rd, Glen Carbon, IL 62034 | 2011-10-11 |
| 1215224357 | Angela Eleni Kioultzopoulos | Speech-Language Pathologist | 7a Ginger Creek Village Dr., Glen Carbon, IL 62034 | 2011-07-08 |
| 1922320795 | Meridian Village Association | Skilled Nursing Facility | 27 Auerbach Place, Glen Carbon, IL 62034 | 2010-02-22 |
| 1679728356 | Erin Kathleen Immken | Counselor | 98 Junction Drive West, Suite 6, Glen Carbon, IL 62034 | 2008-11-24 |
| Find all providers in zip 62034 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553472 | Nicholas Johnson | Nurse Practitioner | 8455 S Luella Ave, Chicago, IL 60617-1953 | 2020-09-23 |
| 1134738800 | Benjamin Scott Hulfachor | Nurse Practitioner | 4143 N Central Park Ave Apt G, Chicago, IL 60618-2062 | 2020-07-28 |
| 1083222368 | Izolda Rosario | Nurse Practitioner | 501 W Lake St Ste 207, Elmhurst, IL 60126-1419 | 2020-07-22 |
| 1043832785 | Melanie Glander | Nurse Practitioner | 18357 Cowing Ct, Homewood, IL 60430-3332 | 2020-05-16 |
| 1699306902 | Ife Muyiwa-ojo | Nurse Practitioner | 729 E Carpenter St, Springfield, IL 62702-5321 | 2020-01-27 |
| 1962040345 | Doctors Orders Inc. | Nurse Practitioner | 5113 S Harper Ave Ste 2, Chicago, IL 60615-4119 | 2019-12-16 |
| 1801455993 | Parul Arora | Nurse Practitioner | 1717 W Congress Pkwy Ste 1125, Chicago, IL 60612-3809 | 2019-06-11 |
| 1891358222 | Kelly Jo Erke | Nurse Practitioner | 20830 N 1970 East Rd, Danville, IL 61834-6228 | 2019-04-22 |
| 1689136319 | Brittany Sue Borkowski | Nurse Practitioner | 5841 S Maryland Ave # W700, Chicago, IL 60637-1443 | 2019-04-02 |
| 1770041832 | Enriqueta R Gomez | Nurse Practitioner | 900 Technology Way Ste 280, Libertyville, IL 60048-5364 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | GLEN CARBON |
| Zip Code | 62034 |
Please comment or provide details below to improve the information on MARY MALONEY.
| 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.