Doctor Name: | MRS. MALINDA ANN REDMON |
NPI Number: | 1891763025 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FAMILY NP |
License Number: | 555484 |
Business Practice Address: | 405 S Main Ave Suite 100 Monahans, TX - 797564506 |
Business Phone Number: | 4329437537 |
Business Fax Number: | |
Mailing Address: | 2304 S Alice Ave, MONAHANS |
State: | TX |
Postal Code: | 797567602 |
Phone Number: | 4325560199 |
Fax Number: | 4329432457 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 07/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 555484 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |