Individual
MANDISA MOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.19066-NP
OH
363LA2200X
Adult Health Nurse Practitioner
COA.19066-NP
OH
363LG0600X
Gerontology Nurse Practitioner
COA.19066-NP
OH
363LP2300X
Primary Care Nurse Practitioner
COA.19066-NP
OH
Other
Enumeration date
05/10/2016
Last updated
11/06/2023
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