Anderson, Mollie
Anderson, Mollie is an individual health care provider with primary practice located at 5875 Bremo Rd Suite104, Richmond VA 23226-1930. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Anderson, Mollie can be contacted via phone (804) 287-7770.Contact Information
Primary practice address
5875 Bremo Rd Suite104
Richmond VA 23226-1930
Phone: (804) 287-7770
Fax: (804) 287-7801
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 0024059551 | Virginia |
Profile Details
NPI number | 1144323577 |
---|---|
LBN Legal business name | Anderson, Mollie |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 7th, 2006 |
Last updated | May 7th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144323577 | NPPES |
Virginia | MEDICAID | 1144323577 | |
Virginia | Other | C06778 |
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