Organization
MODAZ HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MOLLY OLIGBO NURSE PRACTITIONER (PMHNP-BC)
(913) 963-8869
Entity
Organization
Contact information
Practice address
4225 W 107TH ST UNIT 7490, OVERLAND PARK, KS 66207-4440
(913) 963-8869
Mailing address
4225 W 107TH ST UNIT 7490, OVERLAND PARK, KS 66207-4440
(913) 963-8869
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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