Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallory B Haji, CRNP

Individual provider Acute Care Nurse Practitioner · NPI 1447611496

Mallory B Haji, CRNP is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2015, 11 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group and accepts Medicare assignment. Licensed in Indiana and Maryland.

Years since qualifying
11
Licensed in
IN, MD
In the registry since
2016
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845-1673
Phone: (260) 425-6780
Fax: (260) 425-6789
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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 71011134A (IN)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence R204051 (MD)

Record details

NPI number1447611496
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMarch 17, 2016
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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