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Individual
MS. MARY-ANN MOLLOY
Active
Individual
MS. MARY-ANN MOLLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNM, NP, MS
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
308584
CA
363L00000X
Nurse Practitioner
Primary
2384
CA
367A00000X
Advanced Practice Midwife
434
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ91891Z
MEDICARE GROUP ID
CA
01
—
ZZZ91892Z
MEDICARE GROUP ID
CA
01
—
ZZZ92069Z
MEDICARE GROUP ID
CA
01
—
ZZZ92073Z
MEDICARE GROUP ID
CA
Enumeration date
05/08/2007
Last updated
06/04/2008
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