Individual provider
MALLORY HAGLUND
CMS NPPES lists MALLORY HAGLUND as an individual provider record with NPI 1679949358. The current record reports a primary practice location in BOULDER, NV and primary taxonomy code 103TA0400X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location284 WEST ROCKY LANEBOULDER, NV 55114
- Additional practice location3850 Las Vegas Blvd SLas Vegas, NV 891094324
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
101YM0800XAdditional reported taxonomy103TA0400XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- August 17, 2015
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.