Individual
CARLY MOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 MARCHESANO DR, ROCKFORD, IL 61102-3521
(779) 696-5950
Mailing address
815 MARCHESANO DR, ROCKFORD, IL 61102-3521
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.032267
IL
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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