NPI 1003223934

Stacey Glass Malstrom, NPC

Practitioner Nurse Practitioner Marietta, GA

Practice location

Address: 55 Whitcher St NE STE 350, Marietta, GA 30060-1129
Phone: (770) 424-6893

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence RN177773 (GA)

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Registry record

NPI: 1003223934
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jul 2014
Record last updated: 16 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.