Individual provider · Type 1 NPI
Molly Sullivan Bylsma, AGPCNP-BC
Gerontology Nurse Practitioner · Smiths Grove, KY
NPI number
1164813838
Active
Practice location
121 College St.
Smiths Grove, KY 42171
Fax (270) 783-3753
Mailing address
201 Park St
Bowling Green, KY 42101-1759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 3012205 (KY) |
| Primary Care Nurse Practitioner | 363LP2300X | 3012205 (KY) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1164813838
Molly Sullivan Bylsma, AGPCNP-BC's National Provider Identifier is 1164813838, issued on Feb 16, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Smiths Grove, KY. The record was last updated on Jun 7, 2018.