Mccracken, Molly Minnix

Mccracken, Molly Minnix is an individual health care provider with primary practice located at 7605 Forest Ave Ste 303 , Richmond VA 23229-4940. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Mccracken, Molly Minnix can be contacted via phone (804) 289-4941.

Contact Information

Primary practice address
7605 Forest Ave Ste 303 Richmond VA 23229-4940
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 0024173693 Virginia

Profile Details

NPI number 1760835961
LBN Legal business name Mccracken, Molly Minnix
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2016
Last updated Oct 5th, 2023 - about last year

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 1760835961 NPPES
Virginia MEDICAID 1760835961

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