National Provider Identifier
Mallory Elise Freeman, RN
Mallory Elise Freeman, RN is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Registered Nurse in Elmira, NY and a listed phone number of (607) 737-4700.
Profile Overview
- NPI
- 1891585600
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Registered Nurse
- Enumeration Date
- May 07, 2025
- Last Updated
- May 07, 2025
Practice Location
- 100 Washington St
- Elmira, NY 14901-2849
Phone: (607) 737-4700
Mailing Address
- 132 W 10Th St
- Elmira Heights, NY 14903-1617
Specialties
- Psychiatric/Mental Health Registered Nurse (163WP0808X)
Full Record
- NPI
- 1891585600
- Entity Type
- Individual
- Last Name
- Freeman
- First Name
- Mallory
- Middle Name
- Elise
- Name Prefix
- MS.
- Credential
- RN
- Provider Other Last Name
- Benjamin
- Provider Other First Name
- Mallory
- Provider Other Middle Name
- Elise
- Provider Other Credential Text
- RN
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 132 W 10Th St
- Mailing City
- Elmira Heights
- Mailing State
- NY
- Mailing ZIP Code
- 14903-1617
- Mailing Country
- US
- Mailing Phone
- (607) 481-3482
- Practice Street Address
- 100 Washington St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-2849
- Practice Country
- US
- Practice Phone
- (607) 737-4700
- Enumeration Date
- May 07, 2025
- Last Updated
- May 07, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 07, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Registered Nurse (163WP0808X)