SearchIndiana363LF0000X

Theresa Malcom, FNP

NPI 1871224576 · on the registry since 2022 · sole proprietor

Practice

Address
500 Arcade Ave Ste 210
Elkhart, IN 46514
Phone
(574) 389-5656
Fax
(574) 523-7891
Organisation at this address
Sda Consultants Pllc
Michael Joseph Hartman Pc
Beacon Medical Group, Inc.
Beacon Medical Group, Inc.
Beacon Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
67

Additional practice sites

  • 23853 Summerwood Ln, Elkhart, IN

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
207Q00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana