DYAN M MALLETTE FNP
NPI 1669502662
Nurse Practitioner - Family in Canton, NY

Q: What is Dyan Mallette's NPI number?

The NPI number for Dyan Mallette is 1669502662. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Q: What is Dyan Mallette's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dyan Mallette was last updated on March 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 March 07, 2007

9 MINER ST, CANTON, NY 13617(315) 386-8821(315) 386-4723 Get Directions Write a Review

NPPES record last updated: March 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dyan M Mallette Fnp NPPES

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

DYAN M MALLETTE FNP (NPI 1669502662) is an individual family provider in Canton, New York, licensed in New York (333467) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1669502662

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDYAN M MALLETTECredential: FNP

Location Address9 MINER STCanton, NY 13617-1208

Mailing Address35 Wright Camp DrOgdensburg, NY 13669-4223 · (315) 393-8955

Phone(315) 386-8821

Fax(315) 386-4723

Sole ProprietorNo

Enumeration DateMarch 7, 2007

Last NPPES UpdateMarch 7, 2012

✔ NPI 1669502662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 333467

9 MINER ST, Canton, NY 13617

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Other Identifiers 1

Medicaid00583697NY

Other Providers at the Same Location NPPES 2

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

COLLEEN MCFADDEN FNP

Nurse Practitioner (Family)

9 MINER ST
CANTON, NY 13617

St. Lawrence County (315) 386-8821

MARIA TERESA DE LA VEGA NP

Nurse Practitioner (Adult Health)

9 MINER ST
CANTON, NY 13617

St. Lawrence County (315) 386-8821

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 Dyan Mallette's NPI number?

The NPI number for Dyan Mallette is 1669502662. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Dyan Mallette located?

Dyan Mallette practices at 9 Miner St, Canton, NY 13617. The listed phone number is (315) 386-8821.

What is Dyan Mallette'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 Dyan Mallette was last updated on March 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.