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

Mallory Byrne

Individual provider Pediatric Nurse Practitioner · NPI 1174187314

Mallory Byrne is a Pediatric Nurse Practitioner in Philadelphia, Pennsylvania. Licensed in Massachusetts and Pennsylvania. Registered with an NPI since 2019.

Licensed in
MA, PA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence SP020139 (PA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence RN2332271 (MA)

Record details

NPI number1174187314
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 23, 2019
Last updated in NPPESFebruary 19, 2021
Certification dateFebruary 19, 2021

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