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MARY LEANORA MALLERNEE
NPI 1407846801
Nurse Practitioner - Family in Shiprock, NM

Active since October 26, 2005
US HWY 491 N, SHIPROCK, NM 87420(505) 368-6401(505) 368-6431 Get Directions Write a Review

NPPES record last updated: January 16, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Leanora Mallernee NPPES

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

MARY LEANORA MALLERNEE (NPI 1407846801) is an individual family provider in Shiprock, New Mexico, licensed in New Mexico (R49684) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1407846801
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY LEANORA MALLERNEE
Location AddressUS HWY 491 NShiprock, NM 87420
Mailing AddressPo Box 160Shiprock, NM 87420-0160 · (505) 368-6401 · Fax (505) 368-6431
Phone(505) 368-6401
Fax(505) 368-6431
Sole ProprietorNo
Enumeration DateOctober 26, 2005
Last NPPES UpdateJanuary 16, 2008
✔ NPI 1407846801 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 NM · R49684
Also ListedRegistered NurseTaxonomy 163W00000X · License R49684 (NM)
US HWY 491 N, Shiprock, NM 87420
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Other Identifiers 6

Medicare PIN8HBR03
Medicaid803735AZ
Medicare OSCAR/certification320059
Medicaid42979323NM
Medicaid99777533CO
Medicare UPINP97611

Other Providers at the Same Location NPPES 20

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

DR. MARY GAIL MURPHY DDS
Dentist (Periodontics)
US HWY 491 N
SHIPROCK, NM 87420
San Juan County (505) 368-6401
DR. SHARON LYNN BYDONIE DH
Dental Hygienist
US HWY 491 N
SHIPROCK, NM 87420
San Juan County (505) 368-6401
ERIN SCHIFELING MD
Family Medicine
US HWY 491 N
SHIPROCK, NM 87420
San Juan County (505) 368-7010
RYAN JEAN KRONEN MD
Internal Medicine
US HWY 491 N
SHIPROCK, NM 87420
San Juan County (505) 368-7050
DEAN C DISCHLER
Family Medicine
US HWY 491 N
SHIPROCK, NM 87420
San Juan County (505) 368-7010
MS. HOLLI M SCOTT RD
Dietitian, Registered
US HWY 491 N
SHIPROCK, NM 87420
San Juan County (505) 368-6020
MS. DENYSE B HERRMANN PT
Physical Therapist
US HWY 491 N
SHIPROCK, NM 87420
San Juan County (505) 368-6020
ORLANDO J PIOCHE LADAC
Counselor (Addiction (Substance Use Disorder))
US HWY 491 N
SHIPROCK, NM 87420
San Juan County (505) 368-6401

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 Mary Mallernee's NPI number?

The NPI number for Mary Mallernee is 1407846801. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Mary Mallernee located?

Mary Mallernee practices at Us Hwy 491 N, Shiprock, NM 87420. The listed phone number is (505) 368-6401.

What is Mary Mallernee'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 Mary Mallernee was last updated on January 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.