Theresa Malcom is a Elkhart, Indiana based nurse practitioner. Active license number of Theresa Malcom is 71012835A for Family in Indiana. Her current practice location is 500 Arcade Ave Ste 210, Elkhart. Patients can reach her at 574-389-5656 or can fax her at 574-523-7891. Theresa Malcom is FNP and her NPI number (Unique professional ID assigned by NPPES) is 1871224576. Theresa Malcom has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Theresa Malcom speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
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.
NPI Number:
1871224576
NPI Enumeration Date:
22 Jun, 2022
NPI Last Update On:
11 Jan, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Theresa Malcom are as mentioned below.
License Number
Specialization
State
Status
71012835A
Family
Indiana
Primary
F05220661
Family Medicine
Indiana
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Theresa Malcom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
300068982
Medicaid
Indiana
236040463
Other
MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Theresa Malcom 3245 Health Dr Ste 100, Granger, Indiana
Zip:
46530-1380
Phone Number:
574-647-2129
Patients can reach Theresa Malcom at 500 Arcade Ave Ste 210, Elkhart, Indiana or can call to book an appointment on 574-389-5656.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.