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MOLLY ANDERSON
Psychiatric/Mental Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1205013612
Individual Registrant: MOLLY ANDERSON
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
250 BON AIR RD GREENBRAE, CA 94904-1702 US
Tel: 415-499-6835 Fax: --
Tel: 415-499-6835 Fax: --
Contact information for business:
250 BON AIR RD GREENBRAE, CA 94904-1702 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1205013612
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health | CA | 17802 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
