Provider Demographics
NPI:1750166476
Name:MALONE, MEREDITH (EDD, MSN, RN)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:MALONE
Suffix:
Gender:F
Credentials:EDD, MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 LANDERS LN
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-2023
Mailing Address - Country:US
Mailing Address - Phone:302-429-4085
Mailing Address - Fax:
Practice Address - Street 1:607 MCCRACKEN DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-3315
Practice Address - Country:US
Practice Address - Phone:302-559-4936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0027049163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool