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MALLORY LEIGH KETTERER NP
NPI 1144821968
Nurse Practitioner - Family in Elkridge, MD

Active since November 06, 2020
6675 BUSINESS PKWY STE F, ELKRIDGE, MD 21075(866) 799-5886 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2023, Jul 25, 2021, Jun 7, 2021 and 2 more (5 updates tracked since 2020).

About Mallory Leigh Ketterer Np NPPES

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

MALLORY LEIGH KETTERER NP (NPI 1144821968) is an individual family provider in Elkridge, Maryland, licensed in Arizona (255819) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1144821968
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALLORY LEIGH KETTERERCredential: NP
Location Address6675 BUSINESS PKWY STE FElkridge, MD 21075-6349
Mailing Address6675 Business Pkwy Ste FElkridge, MD 21075-6349
Phone(866) 799-5886
Sole ProprietorNo
Enumeration DateNovember 6, 2020
Last NPPES UpdateAugust 28, 20235 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
✔ NPI 1144821968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 255819
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN177978 (AZ)
6675 BUSINESS PKWY STE F, Elkridge, MD 21075
Open in Google Maps ↗

Other Providers at the Same Location NPPES 15

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

MRS. SIBREE L VICKERS
Nurse Practitioner (Family)
6675 BUSINESS PKWY STE F
ELKRIDGE, MD 21075
Howard County (866) 799-5886
MS. CHARITY IFELUNWA NWOSA FNP-C APRN
Nurse Practitioner (Family)
6675 BUSINESS PKWY STE F
ELKRIDGE, MD 21075
Howard County (866) 799-5886
CAMILLE J BANKHEAD FNP-C
Nurse Practitioner (Family)
6675 BUSINESS PKWY STE F
ELKRIDGE, MD 21075
Howard County (866) 799-5886
HENRY DWAYNE BARTON NP
Nurse Practitioner (Acute Care)
6675 BUSINESS PKWY STE F
ELKRIDGE, MD 21075
Howard County (443) 293-6904
KRISTIN COLLEEN CALLEY FNP
Nurse Practitioner (Family)
6675 BUSINESS PKWY STE F
ELKRIDGE, MD 21075
Howard County (585) 315-5494
JENNIFER CAROL CAUDELL APRN
Nurse Practitioner (Family)
6675 BUSINESS PKWY STE F
ELKRIDGE, MD 21075
Howard County (866) 799-5886
BREANN NICOLE BAKER APRN
Nurse Practitioner
6675 BUSINESS PKWY STE F
ELKRIDGE, MD 21075
Howard County (801) 516-8707
VIRGINIA DUMDEI FNP-BC
Nurse Practitioner (Family)
6675 BUSINESS PKWY STE F
ELKRIDGE, MD 21075
Howard County (402) 319-1255

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 Ketterer's NPI number?

The NPI number for Mallory Ketterer is 1144821968. It was assigned to this individual provider in the NPPES registry on November 6, 2020.

Where is Mallory Ketterer located?

Mallory Ketterer practices at 6675 Business Pkwy Ste F, Elkridge, MD 21075. The listed phone number is (866) 799-5886.

What is Mallory Ketterer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mallory Ketterer was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.