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Individual
MOLLIE ALANNA DESIMONE
Active
Individual
MOLLIE ALANNA DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP018306
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103458724
—
PA
01
—
14199141
CAQH
—
Enumeration date
12/13/2017
Last updated
03/05/2026
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