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MALLORY MARIE CROUCH
NPI 1104620301
Student in an Organized Health Care Education/Training Program in New Orleans, LA

Active since April 04, 2025
1430 TULANE AVE RM 4500, NEW ORLEANS, LA 70112(504) 988-5217 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mallory Marie Crouch NPPES

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

MALLORY MARIE CROUCH (NPI 1104620301) is an individual student in an organized health care education/training program in New Orleans, Louisiana and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1104620301
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMALLORY MARIE CROUCH
Location Address1430 TULANE AVE RM 4500New Orleans, LA 70112-2632
Mailing Address1430 Tulane Ave # 8611New Orleans, LA 70112-2632 · (504) 988-5217 · Fax (504) 988-1846
Phone(504) 988-5217
Sole ProprietorNo
Enumeration DateApril 4, 2025
NPPES CertifiedApril 4, 2025
✔ NPI 1104620301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1430 TULANE AVE RM 4500, New Orleans, LA 70112
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Other Providers at the Same Location NPPES

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

AMRUTHA KOTLURE
Student in an Organized Health Care Education/Training Program
1430 TULANE AVE RM 4500
NEW ORLEANS, LA 70112
Orleans Parish (504) 988-5216

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 Mallory Crouch's NPI number?

The NPI number for Mallory Crouch is 1104620301. It was assigned to this individual provider in the NPPES registry on April 4, 2025.

Where is Mallory Crouch located?

Mallory Crouch practices at 1430 Tulane Ave Rm 4500, New Orleans, LA 70112. The listed phone number is (504) 988-5217.

What is Mallory Crouch's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mallory Crouch was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.