Individual
MOLLY KATHERINE CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN261889
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN261889
MA
Other
Enumeration date
09/20/2010
Last updated
04/02/2018
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