| Doctor Name: | NADINE OMALLEY |
| NPI Number: | 1003888330 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 276038 |
| Business Practice Address: | 2668 Elm Rd Ste 1, Bldg C Cortland, OH - 44410 |
| Business Phone Number: | 3303995104 |
| Business Fax Number: | 3303952231 |
| Mailing Address: | 77 E Midlothian Blvd, YOUNGSTOWN |
| State: | OH |
| Postal Code: | 44507 |
| Phone Number: | 3307886506 |
| Fax Number: | 3307887805 |
| NPI Enumeration Date: | 02/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0101X |
| License Number: | 276038 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Women's Health Care, Ambulatory |
| Taxonomy Definition: | |