ASHLEY RENEE MALLIETT
NPI 1316238348
Physician Assistant in Detroit, MI

Q: What is Ashley Malliett's NPI number?

The NPI number for Ashley Malliett is 1316238348. It was assigned to this individual provider in the NPPES registry on April 25, 2011.

Q: What is Ashley Malliett's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Malliett was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 25, 2011

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2021, Jun 13, 2016 (2 updates tracked since 2016).

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About Ashley Renee Malliett NPPES

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

ASHLEY RENEE MALLIETT (NPI 1316238348) is an individual physician assistant in Detroit, Michigan, licensed in Michigan (5601005984) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1316238348

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameASHLEY RENEE MALLIETT

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address3080 Raneem DrCommerce Township, MI 48382-5204 · (313) 695-2503

Phone(313) 916-2600

Sole ProprietorNo

Enumeration DateApril 25, 2011

Last NPPES UpdateMarch 4, 20212 updates tracked since enumeration

NPPES CertifiedMarch 4, 2021

✔ NPI 1316238348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601005984

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2799 W GRAND BLVD, Detroit, MI 48202

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