Individual
MS. MOLLY ELIZABETH MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN PRACTITIONER
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
(225) 761-5220
Mailing address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN077129 & NOA03454
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1567272
—
LA
Enumeration date
07/20/2006
Last updated
12/13/2007
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