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Individual

MS. MOLLY ELIZABETH BLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
3219 CLIFTON AVE STE 315, CINCINNATI, OH 45220-3047
(513) 624-0934
(513) 624-0999
Mailing address
PO BOX 636799, CINCINNATI, OH 45263-6799
(513) 569-6422
(513) 569-5199

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP-09335
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2923733
OH
01
NP-09335
NURSE PRACTITIONER LICENS
OH
01
RN 231051
RN LICENSE
OH
01
RX 09335 - EX1
CERTIFICATE TO PRESCRIBE
OH
Enumeration date
03/06/2007
Last updated
05/10/2023
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