IndividualActive
Eloise Gordon-Mallett, RN, FNP
NPI 1053757344 · Critical Care Medicine Registered Nurse · New York, NY
Provider details
- NPI number
- 1053757344
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Credential
- RN, FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 440265 (NY)
Specialties & taxonomies
Nursing Service Providers
Practice location
1000 10th Ave
New York, NY 10019-1147
Phone: (212) 636-3443
Fax: (212) 523-8189
Approximate (ZIP-level) locationGet directions
Mailing address
222 Everett Pl
Englewood, NJ 07631-1660
Registry dates
- Enumerated
- 2013-05-14
- Last updated
- 2025-09-11
- Certified
- 2024-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.