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NICOLE M MALLORY PA
NPI 1578734844
Physician Assistant - Medical in Warren, MI

Active since March 14, 2008
28800 RYAN RD, WARREN, MI 48092(586) 573-6400(586) 576-1918 Get Directions Write a Review

NPPES record last updated: March 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole M Mallory Pa NPPES

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

NICOLE M MALLORY PA (NPI 1578734844) is an individual medical provider in Warren, Michigan, licensed in Michigan (5601003330) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1578734844
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNICOLE M MALLORYCredential: PA
Location Address28800 RYAN RDWarren, MI 48092-4272
Mailing Address1431 Washington Blvd, Apt 1716Detroit, MI 48226-1732
Phone(586) 573-6400
Fax(586) 576-1918
Sole ProprietorYes
Enumeration DateMarch 14, 2008
Last NPPES UpdateMarch 17, 2008
✔ NPI 1578734844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601003330
28800 RYAN RD, Warren, MI 48092
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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.

NEUROCOGNITIVE CENTER OF MICHIGAN GROUP
Psychiatry & Neurology (Psychiatry)
28800 RYAN RD, SUITE 300
WARREN, MI 48092
Macomb County (586) 582-0500
GERIATRIC PSYCHIATRIC SERVICES PLLC
Nurse Practitioner
28800 RYAN RD, SUITE 320
WARREN, MI 48092
Macomb County (586) 620-8100
GERIATRIC PSYCHIATRIC SERVICES PLLC
Psychologist
28800 RYAN RD, SUITE 320
WARREN, MI 48092
Macomb County (586) 620-8100
DR. KRISTY MARIE SMITH M.D.
Emergency Medicine (Sports Medicine)
28800 RYAN RD, SUITE 120
WARREN, MI 48092
Macomb County (586) 558-2860
PRIMARY MEDICAL EQUIPMENT, INC
Durable Medical Equipment & Medical Supplies
28800 RYAN RD, STE 110A
WARREN, MI 48092
Macomb County (586) 558-8133
SADIQ HAQUE D.O.
Family Medicine (Sports Medicine)
28800 RYAN RD, SUITE 120
WARREN, MI 48092
Macomb County (586) 558-2860
DIMA SPRAGUE
Physician Assistant (Surgical)
28800 RYAN RD
WARREN, MI 48092
Macomb County (586) 577-9444
BIO-BEHAVIORAL CARE SOLUTIONS, LLC
Psychologist (Adult Development & Aging)
28800 RYAN RD, SUITE 320
WARREN, MI 48092
Macomb County (586) 620-8100

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 Nicole Mallory's NPI number?

The NPI number for Nicole Mallory is 1578734844. It was assigned to this individual provider in the NPPES registry on March 14, 2008.

Where is Nicole Mallory located?

Nicole Mallory practices at 28800 Ryan Rd, Warren, MI 48092. The listed phone number is (586) 573-6400.

What is Nicole Mallory's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Nicole Mallory was last updated on March 17, 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.