Provider Demographics
NPI:1922414937
Name:MALIK, FRANCES LOUISE (PA-C)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:LOUISE
Last Name:MALIK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:LOUISE
Other - Last Name:MORELLO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:1 TECH PARK DR STE 1150
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15901-2515
Mailing Address - Country:US
Mailing Address - Phone:814-475-8700
Mailing Address - Fax:814-475-8797
Practice Address - Street 1:322 WARREN STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-3443
Practice Address - Country:US
Practice Address - Phone:814-288-4498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA056936363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical