Individual provider · Type 1 NPI

Molly Lynn Mudd, RN, CPNP-PC

Pediatric Nurse Practitioner · St. Louis, MO

NPI number 1518482298 Active

Practice location

1 Childrens Pl
St. Louis, MO 63110-1002

Call (314) 477-9864 Map

Mailing address

1 Childrens Place, Office 8W23
St. Louis, MO 63110

Specialties and licenses

Taxonomy	Code	License
Pediatric Registered Nurse	163WP0200X	2008022120 (MO)
Pediatric Nurse Practitioner Primary	363LP0200X	20163161 (MO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1518482298

Molly Lynn Mudd, RN, CPNP-PC's National Provider Identifier is 1518482298, issued on Aug 3, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Nov 4, 2021.