Mallory B Haji

CRNP | Nurse Practitioner - Acute Care | 9+ years Exp

Accepts Medicare Acute Care Nurse Practitioner in Fort Wayne, Indiana.
Mallory B Haji is a Fort Wayne, Indiana based nurse practitioner with 9 years of experience in Acute Care. She completed her graduation in 2015. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mallory B Haji is 71011134A in Indiana. Her current practice location is 11104 Parkview Circle Dr Ste 110, Fort Wayne. Patients can reach her at 260-425-6780 or can fax her at 260-425-6789. Mallory B Haji is CRNP with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1447611496.
Mallory B Haji is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.

Complete Profile:
Mallory B Haji speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mallory B Haji
Specialization: Acute Care Nurse Practitioner (ACNP)
Gender:Female
Credentials: CRNP
Experience: 9+ years
Medical School Attended:Other
Graduation Year:2015
Accepts Medicare Assignment:Yes
Practice Address:11104 Parkview Circle Dr Ste 110, Fort Wayne,
Indiana, 46845-1673
Phone:260-425-6780
Fax:260-425-6789
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 5799077178
Enrollment ID: I20210526001635
NPI Number: 1447611496
NPI Enumeration Date: 17 Mar, 2016
NPI Last Update On: 09 Sep, 2024

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mallory B Haji are as mentioned below.
License NumberSpecializationStateStatus
71011134A IndianaPrimary
R204051Acute Care MarylandSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(150021)Fort wayne, INAcute Care Hospital
(150146)Kendallville, INAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Mallory B Haji is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Parkview Health System Inc (2163336967)1059
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mallory B Haji
11109 Parkview Plaza Dr # 117,
Fort Wayne, Indiana
Zip: 46845-1701
Patients can reach Mallory B Haji at 11104 Parkview Circle Dr Ste 110, Fort Wayne, Indiana or can call to book an appointment on 260-425-6780.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.