National Provider Identifier
Alice Demallie, NP
Alice Demallie, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Shortsville, NY and a listed phone number of (585) 289-3560.
Profile Overview
- NPI
- 1730195314
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- August 01, 2006
- Last Updated
- March 30, 2015
Practice Location
- 15 Canandaigua St
- Shortsville, NY 14548-9763
Phone: (585) 289-3560
Mailing Address
- 15 Canandaigua Street
- Shortsville, NY 14548
Specialties
- Family Nurse Practitioner (363LF0000X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1730195314
- Entity Type
- Individual
- Last Name
- Demallie
- First Name
- Alice
- Credential
- NP
- Mailing Street Address
- 15 Canandaigua Street
- Mailing City
- Shortsville
- Mailing State
- NY
- Mailing ZIP Code
- 14548
- Mailing Country
- US
- Mailing Phone
- (585) 289-3560
- Mailing Fax
- (585) 289-3570
- Practice Street Address
- 15 Canandaigua St
- Practice City
- Shortsville
- Practice State
- NY
- Practice ZIP Code
- 14548-9763
- Practice Country
- US
- Practice Phone
- (585) 289-3560
- Practice Fax
- (585) 289-3570
- Enumeration Date
- August 01, 2006
- Last Updated
- March 30, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Registered Nurse (163W00000X)