NPI Profile for MALLORY R MUMMA in OLYMPIA, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Gastroenterology |
163WG0100X |
| NPI # | 1801783402 |
|
| Status | Active | |
| Credentials | ARNP (Advanced Registered Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 06/18/2025 | |
| Last updated | 08/11/2025 - About 10 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MALLORY R MUMMA
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