Molly Marie Andersen, APRN Valid NPI

Individual provider · Pediatric Nurse Practitioner · Slc, UT

NPI

1306096920

Type

Individual (Type 1)

Primary specialty

Pediatric Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0200X

License number

291721-4405 (UT)

Sex

Female

Sole proprietor

No

Enumerated

2008-09-19

Last updated

2008-09-19