Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Ann Myslenski, AGNP-C

Individual provider Nurse Practitioner · NPI 1366937716

Mallory Ann Myslenski, AGNP-C is a Nurse Practitioner in Wyoming, Michigan. Qualified in 2018, 8 years ago. Practices with Metropolitan Hospital, a 422-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2018
Specialties on file
5
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Practice location Address checks out

2122 Health Dr SW Ste 133
Wyoming, MI 49519-9698
Phone: (616) 252-5950
Fax: (616) 252-5956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704301141 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence AG06180160 (MI)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence AG06180160 (MI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence AG06180160 (MI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AG06180160 (MI)

Record details

NPI number1366937716
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedJune 28, 2018
Last updated in NPPESFebruary 5, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Metropolitan Hospital — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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