Individual provider · Type 1 NPI
Molly Marie Andersen, APRN
Pediatric Nurse Practitioner · Slc, UT
NPI number
1306096920
Active
Practice location
100 Mario Capecci Dr
Slc, UT 84113-1103
Mailing address
2463 Newcastle Dr
Sandy, UT 84093-2726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 291721-4405 (UT) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Slc
About NPI 1306096920
Molly Marie Andersen, APRN's National Provider Identifier is 1306096920, issued on Sep 19, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Slc, UT. The record was last updated on Sep 19, 2008.