# MISTY MOLINA, ARNP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lotus Holistic Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972068070
- **Authorized official:** MISTY M MOLINA ARNP, CNM, WHNP (OWNER/PROVIDER)
- **Authorized official phone:** (253) 376-9070

## Contact information

- **Practice address:** 6002 WESTGATEBLVD., STE 120, TACOMA, WA 98406
- **Practice address phone:** (253) 376-9070
- **Practice address fax:** (253) 248-0149
- **Mailing address:** PO BOX 734, FOX ISLAND, WA 98333
- **Mailing address phone:** (253) 376-9070
- **Mailing address fax:** (253) 248-0149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | — | NULL | — |
| 176B00000X | Midwife | — | — | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | NULL | Yes |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/04/2019
- **Last updated:** 02/04/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2034218 | — | WA |