Provider Demographics
NPI:1982405585
Name:MALONSON, MIRIAM RUTH
Entity type:Individual
Prefix:MRS
First Name:MIRIAM
Middle Name:RUTH
Last Name:MALONSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3743 FLORA AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64109-2709
Mailing Address - Country:US
Mailing Address - Phone:816-799-4907
Mailing Address - Fax:
Practice Address - Street 1:3743 FLORA AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64109-2709
Practice Address - Country:US
Practice Address - Phone:816-799-4907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula