(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003281858
Provider Name: MALLORY MICHELLE MICHNA NP-C
Entity Type: Individual
Taxonomy Code: 363LF0000X
Specialty: Nurse Practitioner
License Number: COA.18458-NP
Most Important Dates
Enumeration Date: 12/04/2015
Last Updated: 07/16/2024
Provider Practice Location
2960 FERNDOWN DR
MIAMISBURG
OH
453423585
Practice Location Phone/Fax
Phone: 9378865510
Fax: 9378132637
Provider Mailing Location
2960 FERNDOWN DR
MIAMISBURG
OH
453423585
Provider Mailing Phone/Fax
Phone: 9378865510
Fax: 9378132637