Molloy, Mary-Ann

Molloy, Mary-Ann is an sole proprietor health care provider with primary practice located at 1400 Emeline Ave , Santa Cruz CA 95060-1976. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Molloy, Mary-Ann can be contacted via phone (831) 471-3900.

Contact Information

Primary practice address
1400 Emeline Ave Santa Cruz CA 95060-1976
Phone: (831) 471-3900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 308584 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2384 California
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 434 California

Profile Details

NPI number 1134332604
LBN Legal business name Molloy, Mary-Ann
Credentials RN, CNM, NP, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Jun 4th, 2008 - 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 1134332604 NPPES
California Other ZZZ92073Z MEDICARE GROUP ID
California Other ZZZ91892Z MEDICARE GROUP ID
California Other ZZZ91891Z MEDICARE GROUP ID
California Other ZZZ92069Z MEDICARE GROUP ID

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