Individual
MOLLY ANNE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
845 N MAIN ST, PROVIDENCE, RI 02904-5700
(401) 648-7172
(401) 648-0161
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
004518
CT
363LA2200X
Adult Health Nurse Practitioner
APRN02368
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN03483
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008034831
—
CT
Enumeration date
12/09/2010
Last updated
10/23/2024
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