Provider Demographics
NPI:1770813859
Name:MALONE'S NURSING CONSULTANTS
Entity Type:Organization
Organization Name:MALONE'S NURSING CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MALONE-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:CNS
Authorized Official - Phone:937-660-3090
Mailing Address - Street 1:1153 BERYL TRL
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-3938
Mailing Address - Country:US
Mailing Address - Phone:937-648-1459
Mailing Address - Fax:937-648-1459
Practice Address - Street 1:1 ELIZABETH PL
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-3445
Practice Address - Country:US
Practice Address - Phone:937-660-3090
Practice Address - Fax:937-222-2264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNS-08913364SC1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1053437061OtherNPI
OH2791457Medicaid
P36647Medicare UPIN