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NPI Profile for MALLORY EDWARDS in SANTA FE, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Care |
163WP2201X |
| NPI Number | 1275381188 |
|
| Status | Active | |
| Credentials | MSN | |
| Entity | Individual | |
| Enumeration date | 05/07/2024 | |
| Last updated | 05/07/2024 - About 2 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MALLORY EDWARDS
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MALLORY EDWARDS, MSN