Moore-Pullin, Molly Anne

Moore-Pullin, Molly Anne is an individual health care provider with primary practice located at 802 Ainsworth Dr Ste A , Prescott AZ 86301-1623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Moore-Pullin, Molly Anne can be contacted via phone (928) 445-6025.

Contact Information

Primary practice address
802 Ainsworth Dr Ste A Prescott AZ 86301-1623
Phone: (928) 445-6025
Fax: (928) 777-2423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN049339 Arizona

Profile Details

NPI number 1154310902
LBN Legal business name Moore-Pullin, Molly Anne
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Nov 10th, 2020 - about 4 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 1154310902 NPPES
Arizona Other Z214401 MEDICARE INDIVIDUAL PTAN

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