| Mallory Middleton, NP | |
|
920 Oliver Rd, Monroe, LA 71201-5702 | |
| (318) 807-6263 | |
| (318) 812-7348 |
| Full Name | Mallory Middleton |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 920 Oliver Rd, Monroe, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992367833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 206724 (Louisiana) | Primary |
| Entity Name | Affinity Health Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023291226 PECOS PAC ID: 9335226547 Enrollment ID: O20080411000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Middleton, NP 130 Desiard St Ste 355, Monroe, LA 71201-7363 Ph: (318) 807-7875 | Mallory Middleton, NP 920 Oliver Rd, Monroe, LA 71201-5702 Ph: (318) 807-6263 |
Brenda Thomason, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3510 Magnolia Cv, Monroe, LA 71203 Phone: 318-323-1100 Fax: 318-323-1161 | |
Nayana Shrestha, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 312 Grammont St Ste 411, Monroe, LA 71201 Phone: 318-966-6622 Fax: 318-966-6621 | |
Mr. Nicholas Colton Fisher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 Grammont St., Monroe, LA 71201 Phone: 318-325-2634 Fax: 318-812-1205 | |
Miss Kandice Nicole Hunter, APRN, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7000 | |
Anna Sartor Titus, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2408 Duval Dr, Monroe, LA 71201 Phone: 318-516-2611 | |
Mrs. Ellen Stewart Murray, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2802 Kilpatrick Blvd, Monroe, LA 71201 Phone: 318-855-6282 Fax: 318-855-6424 | |
Miss Matilda Elliott Stephens, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Medical Park Dr Ste B, Monroe, LA 71203 Phone: 318-387-6803 Fax: 318-387-6874 |