Cerniglia, Molly M

Cerniglia, Molly M is an individual health care provider with primary practice located at 1955 W Frye Rd , Chandler AZ 85224-6282. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Cerniglia, Molly M can be contacted via phone (608) 782-2800.

Contact Information

Primary practice address
1955 W Frye Rd Chandler AZ 85224-6282
Phone: (608) 782-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1821 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6356 Arizona

Profile Details

NPI number 1679578991
LBN Legal business name Cerniglia, Molly M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jul 26th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679578991 NPPES
Wisconsin MEDICAID 41999000

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