Individual
MOLLY LYNN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
875 SMOKERISE DR, MEDINA, OH 44256-2775
(440) 390-0493
Mailing address
875 SMOKERISE DR, MEDINA, OH 44256-2775
(440) 390-0493
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0027586
OH
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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