Vandam, Mollie Anne

Vandam, Mollie Anne is an individual health care provider with primary practice located at 3333 W Tech Rd , Miamisburg OH 45342-0955. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Vandam, Mollie Anne can be contacted via phone (937) 641-5725.

Contact Information

Primary practice address
3333 W Tech Rd Miamisburg OH 45342-0955
Phone: (937) 641-5725
Fax: (937) 350-3050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN.410996 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.0029589 Ohio

Profile Details

NPI number 1699433169
LBN Legal business name Vandam, Mollie Anne
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2021
Last updated Oct 11th, 2023 - about 2 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 1699433169 NPPES
Ohio MEDICAID 0469873

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