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

Mallory Lynne Mizvitowicz, CRNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1427815042

Mallory Lynne Mizvitowicz, CRNP is a Nurse Practitioner in Broomall, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Psych Choices of the Delaware Valley, LLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2024
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

2002 Sproul Rd Fl 3
Broomall, PA 19008-3510
Phone: (610) 626-8085
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence SP028758 (PA)

Record details

NPI number1427815042
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedFebruary 29, 2024
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Psych Choices Of The Delaware Valley, Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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