National Provider Identifier
Mallory A Moebs, NP
Mallory A Moebs, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Orchard Park, NY and a listed phone number of (716) 674-3104.
Profile Overview
- NPI
- 1376320390
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- September 12, 2023
- Last Updated
- April 25, 2024
Practice Location
- 3401 Orchard Park RD Ste C
- Orchard Park, NY 14067-9274
Phone: (716) 674-3104
Mailing Address
- 8276 Mill RD
- Gasport, NY 14067-9274
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1376320390
- Entity Type
- Individual
- Last Name
- Moebs
- First Name
- Mallory
- Middle Name
- A
- Credential
- NP
- Mailing Street Address
- 8276 Mill RD
- Mailing City
- Gasport
- Mailing State
- NY
- Mailing ZIP Code
- 14067-9274
- Mailing Country
- US
- Mailing Phone
- (716) 417-6564
- Practice Street Address
- 3401 Orchard Park RD Ste C
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14067-9274
- Practice Country
- US
- Practice Phone
- (716) 674-3104
- Practice Fax
- (716) 674-0666
- Enumeration Date
- September 12, 2023
- Last Updated
- April 25, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 12, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)