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NANCY MALLORY MD
NPI 1083665129
Family Medicine in Eagle, ID

Active since May 13, 2006
435 S EAGLE RD, EAGLE, ID 83616(208) 939-8200 Get Directions Write a Review

NPPES record last updated: January 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nancy Mallory Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NANCY MALLORY MD (NPI 1083665129) is an individual family medicine provider in Eagle, Idaho, licensed in Idaho (M8876) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1083665129
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNANCY MALLORYCredential: MD
Location Address435 S EAGLE RDEagle, ID 83616-6067
Mailing Address435 S Eagle RdEagle, ID 83616-6067 · (208) 939-8200
Phone(208) 939-8200
Sole ProprietorNo
Enumeration DateMay 13, 2006
Last NPPES UpdateJanuary 23, 2008
✔ NPI 1083665129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M8876
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
435 S EAGLE RD, Eagle, ID 83616
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Other Identifiers 3

Medicare UPINH74313
Medicare PINP0026079
Medicare PIN1112927

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL A KAYLOR M.D.
Family Medicine
435 S EAGLE RD
EAGLE, ID 83616
Ada County (208) 939-8200
JAMES M YERGER MD
Family Medicine
435 S EAGLE RD, SUITE 100
EAGLE, ID 83616
Ada County (208) 939-8200
JUDITH LAUREN CHASIN MD
Family Medicine
435 S EAGLE RD, SUITE 100
EAGLE, ID 83616
Ada County (208) 939-8200
SAMUEL SHINKLE PA-C
Physician Assistant
435 S EAGLE RD
EAGLE, ID 83616
Ada County (208) 939-8200
DANIEL C REED MD
Family Medicine
435 S EAGLE RD
EAGLE, ID 83616
Ada County (208) 939-8200
SONYA L CRUM FNP
Nurse Practitioner (Family)
435 S EAGLE RD, SUITE 100
EAGLE, ID 83616
Ada County (208) 939-8200
TRENTON LUCAS PERRY PA
Physician Assistant
435 S EAGLE RD
EAGLE, ID 83616
Ada County (208) 939-8200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nancy Mallory's NPI number?

The NPI number for Nancy Mallory is 1083665129. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Nancy Mallory located?

Nancy Mallory practices at 435 S Eagle Rd, Eagle, ID 83616. The listed phone number is (208) 939-8200.

What is Nancy Mallory's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Nancy Mallory was last updated on January 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.