Individual
MOLLY WINTER HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11835 W OLYMPIC BLVD, LOS ANGELES, CA 90064-5001
(310) 273-4843
Mailing address
11835 W OLYMPIC BLVD STE 1265E, LOS ANGELES, CA 90064-5814
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4716839
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PENDING
CA
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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