Mallory Iverson, APN
Nurse Practitioner · Wauconda, IL
Practice location
431 W Liberty StWauconda, IL 60084-2452
- Phone
- (847) 526-2151
NPI record
- NPI
- 1366818692
- Entity type
- Individual (Type 1)
- Enumeration date
- August 20, 2015
- Last updated
- August 20, 2015
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X |
209013043 | IL |
Mailing address
PO Box 6037Wauconda, IL 60084-6037
- Phone
- (847) 526-2151
About Mallory Iverson
Mallory Iverson, APN is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 431 W Liberty St, Wauconda, IL 60084-2452. The NPI number 1366818692 was assigned on August 20, 2015 and the record was last updated on August 20, 2015.
Mallory Iverson lists a license in the registry: #209013043 (IL) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mallory Iverson, APN?
The NPI number is 1366818692.
What is the phone number of Mallory Iverson?
The phone number listed for the practice location is (847) 526-2151.
Where is Mallory Iverson located?
431 W Liberty St, Wauconda, IL 60084-2452.
What is the taxonomy code for Mallory Iverson?
The primary taxonomy code is 363L00000X – Nurse Practitioner.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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