Individual
MRS. MOLLY KAY EASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
510 S SOUTH ST, MOUNT AIRY, NC 27030
(336) 786-4522
(336) 789-3025
Mailing address
PO BOX 1267, MOUNT AIRY, NC 27030-1267
(336) 786-4522
(336) 789-3025
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5003119
NC
363LF0000X
Family Nurse Practitioner
005003119
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02774
STATE HEALTH BCBS
NC
Enumeration date
09/18/2007
Last updated
08/16/2018
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