Individual
MOLLEY EAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7419 US HIGHWAY 431, ALBERTVILLE, AL 35950-1167
(256) 400-4210
(256) 400-5665
Mailing address
7419 US HIGHWAY 431, ALBERTVILLE, AL 35950-1167
(256) 400-4210
(256) 400-5665
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-146309
AL
363LF0000X
Family Nurse Practitioner
Primary
1-146309
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9236680348
DOT
—
Enumeration date
01/14/2019
Last updated
05/11/2026
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