Mallory Evans, RD is a
Dietitian, Registered based in Lincoln Park, Michigan. Mallory Evans is licensed to practice in * (Not Available) (license number ) and her current practice location is
713 New York Ave, Lincoln Park, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 673-3699.
NPI number for Mallory Evans is 1528756517 and her current mailing address is 713 New York Ave, Lincoln Park, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528756517.
Healthcare Provider's Profile
| Full Name | Mallory Evans |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 713 New York Ave, Lincoln Park, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528756517
- Provider Enumeration Date: 04/27/2023
- Last Update Date: 04/27/2023
Medical Identifiers
Medical identifiers for Mallory Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528756517 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mallory Evans is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mallory Evans, RD 713 New York Ave, Lincoln Park, MI 48146-3152 Ph: (313) 673-3699 | Mallory Evans, RD 713 New York Ave, Lincoln Park, MI 48146-3152 Ph: (313) 673-3699 |
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