IndividualActive
Mallory Patino, PA-C
NPI 1790206274 · Medical Physician Assistant · Newark, DE
Provider details
- NPI number
- 1790206274
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- OA004186 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
324 E Main St
Newark, DE 19711-7150
Phone: (302) 738-4300
Approximate (ZIP-level) locationGet directions
Mailing address
324 E Main St
Newark, DE 19711-7150
Registry dates
- Enumerated
- 2017-07-05
- Last updated
- 2024-12-04
- Certified
- 2024-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.