THERESA MALCOM

ELKHART, IN
NPI1871224576
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71012835A)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IN  F05220661)
Enumeration Date2022-06-22
Last Update Date2023-01-11
Business Address
THERESA MALCOM FNP
500 ARCADE AVE STE 210
ELKHART, IN 46514
Phone number: 574-389-5656
Mailing Address
THERESA MALCOM FNP
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number: 574-647-2129