Individual provider · NPI-1

Katie Elaine Malone, DNP, AGCNS-BC

Nurse Practitioner, Acute Care · Fort Worth, TX

NPI number1144843103
StatusActive
Last updated in NPPESFeb 7, 2023

Details

NPI
1144843103
Entity type
Individual (NPI-1)
Name
Katie Elaine Malone
Credential
DNP, AGCNS-BC
Sex
Female
Sole proprietor
No
Enumeration date
May 26, 2020
Certification date
Feb 7, 2023
Last updated
Feb 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2100X Nurse Practitioner, Acute CareAP146109TXYes
364S00000X Clinical Nurse SpecialistAP146109TX

Practice location

1325 Pennsylvania Ave Ste 500
Fort Worth, TX 76104-2130

Phone 817-250-2000

Mailing address

580 S Point Ct
Aledo, TX 76008-4229

Phone 817-999-2301

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