Individual
ANGELA RENAE MOLLENHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
312 9TH ST SW, WAVERLY, IA 50677-2929
(319) 352-4120
(319) 235-5360
Mailing address
8800 SE SUNNYSIDE RD, SUITE 300-N, CLACKAMAS, OR 97015-5738
(281) 286-2999
(512) 607-4893
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
424
IA
237600000X
Audiologist-Hearing Aid Fitter
Primary
741
IA
237700000X
Hearing Instrument Specialist
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1148023
—
IA
01
—
IB1704005
MEDICARE
IA
01
—
IB1795005
MEDICARE
IA
01
—
IB1796005
MEDICARE
IA
01
—
IB1797005
MEDICARE
IA
01
—
IB1798005
MEDICARE
IA
01
—
IB1799005
MEDICARE
IA
Enumeration date
03/23/2006
Last updated
03/17/2018
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