Individual
DR. MOLLY ELIZABETH DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-FAMILY
Contact information
Practice address
10120 TEAL LN, DEAL ISLAND, MD 21821-1507
(410) 202-9941
Mailing address
10120 TEAL LN, DEAL ISLAND, MD 21821-1507
(410) 202-9941
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R222703
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R222703
CRNP-FAMILY LICENSE
MD
Enumeration date
06/13/2022
Last updated
06/13/2022
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