Gwendolyn Gian Malloy, NP
Nurse Practitioner in Austin, TX. Individual provider (NPI-1).
NPI number1669932026
StatusActive
Last updated in NPPESMar 21, 2019
Details
- NPI
- 1669932026
- Entity type
- Individual (NPI-1)
- Name
- Gwendolyn Gian Malloy
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2019
- Last updated
- Mar 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP136445 | TX | Yes |
Practice location
7901 Metropolis DrAustin, TX 78744-3111
Phone 254-743-1724
Mailing address
1901 Veterans Memorial DrTemple, TX 76504-7451
Phone 254-743-1724
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