Mcrae, Molly Elizabeth

Mcrae, Molly Elizabeth is an individual health care provider with primary practice located at 9001 Summa Ave , Baton Rouge LA 70809-3726. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mcrae, Molly Elizabeth can be contacted via phone (225) 761-5200.

Contact Information

Primary practice address
9001 Summa Ave Baton Rouge LA 70809-3726
Fax: (225) 761-5220
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN077129 & NOA03454 Louisiana

Profile Details

NPI number 1043230410
LBN Legal business name Mcrae, Molly Elizabeth
Credentials RN PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Dec 13th, 2007 - about 17 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 1043230410 NPPES
Louisiana MEDICAID 1567272

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