Individual
MOLLY MARIE ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 MARIO CAPECCI DR, SLC, UT 84113-1103
(801) 662-1000
Mailing address
2463 NEWCASTLE DR, SANDY, UT 84093-2726
(801) 560-4952
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
291721-4405
UT
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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