Individual
MOLLY LYNN MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP-PC
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 477-9864
Mailing address
1 CHILDRENS PLACE, OFFICE 8W23, ST. LOUIS, MO 63110
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
2008022120
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
20163161
MO
Other
Enumeration date
08/03/2017
Last updated
11/04/2021
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