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

Mallory Radvansky, CFNP

Individual provider Family Nurse Practitioner · NPI 1376881607

Mallory Radvansky, CFNP is a Nurse Practitioner in East Liverpool, Ohio. Qualified in 2012, 14 years ago. Practices with Trinity Hospital Holding Company, a 37-clinician group and works from 2 locations. Licensed in Ohio and Pennsylvania.

Years since qualifying
14
Licensed in
OH, PA
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

425 W 5th St
East Liverpool, OH 43920-2405
Phone: (330) 386-5279
Fax: (330) 386-5866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15655 State Route 170 Ste B, East Liverpool, OH 43920-9672 — (330) 932-0909

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.14103 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP015019 (PA)

Record details

NPI number1376881607
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedJanuary 22, 2013
Last updated in NPPESJanuary 25, 2022
Certification dateJanuary 25, 2022
Mailing addressPo Box 645409, Pittsburgh, PA 15264-5252

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Trinity Hospital Holding Company — 37 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in East Liverpool