MS. SHEILA ORALLO MALLORY N. P. NPI 1003000712

Nurse Practitioner (Family) in Fresno, CA

About SHEILA MALLORY

Sheila Mallory is a provider in Fresno, CA. The NPI number assigned to this provider is 1003000712. The practitioner's primary taxonomy code is Nurse Practitioner (363LF0000X). The provider is registered as an individual and their NPI record was last updated 9 years ago.

NPI1003000712 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMS. SHEILA ORALLO MALLORY N. P.
Provider Location Address1867 E FIR AVE STE 104 FRESNO, CA 93720 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1867 E FIR AVE STE 104 FRESNO, CA 93720 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-06-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date11-19-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MS. SHEILA ORALLO MALLORY N. P.
1867 E FIR AVE STE 104
FRESNO, CA
ZIP 93720
Phone: (559) 325-5876
Fax: (559) 325-5838
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Mailing Address

MS. SHEILA ORALLO MALLORY N. P.
1867 E FIR AVE STE 104
FRESNO, CA
ZIP 93720
Phone: (559) 325-5876
Fax: (559) 325-5838

Primary Taxonomy

Taxonomy Code363LF0000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.11495
License StateCA

Map Location


MS. SHEILA ORALLO MALLORY N. P. address is 1867 E FIR AVE STE 104 FRESNO, CA 93720

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366459760DR. RICHARD W GONG MD
Individual
Radiology (Diagnostic Radiology)1867 E FIR AVE STE 104
FRESNO, CA 93720
(559) 325-5809
1366529026 PROMODE BHANDARY M.D.
Individual
Radiology (Diagnostic Radiology)1867 E FIR AVE STE 104
FRESNO, CA 93720
(559) 325-5876
1568556413DR. FRANK CHANG M.D.
Individual
Radiology (Diagnostic Radiology)1867 E FIR AVE STE 104
FRESNO, CA 93720
(559) 325-5800
1932171733 PAUL RICHARD SPEECE M.D.
Individual
Radiology (Diagnostic Radiology)1867 E FIR AVE STE 104
FRESNO, CA 93720
(559) 325-5809