Individual
ENRIQUE MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1265 E COLLEGE ST, PULASKI, TN 38478-4541
(615) 620-2320
(615) 620-2323
Mailing address
PO BOX 440401, NASHVILLE, TN 37244-0401
(615) 620-2320
(615) 620-2323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN102000
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN9953
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515279
—
TN
01
—
4093506
BLUE CROSS/BLUE SHIELD OF TN
TN
01
—
P00308720
RR MEDICARE
TN
Enumeration date
10/27/2006
Last updated
08/05/2010
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