Provider Demographics
NPI:1427945435
Name:MALONE, ERIN CHARELL
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:CHARELL
Last Name:MALONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9962 SW 224TH ST APT 204
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1447
Mailing Address - Country:US
Mailing Address - Phone:786-426-6017
Mailing Address - Fax:
Practice Address - Street 1:9962 SW 224TH ST APT 204
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33190-1447
Practice Address - Country:US
Practice Address - Phone:786-426-6017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11040516163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health