Individual
MISS MOLLY MACDONALD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
FIRST FLOOR WOOD BUILDING, CHOP ENT, 34TH AND CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-3400
Mailing address
4405 PINE ST, PHILADELPHIA, PA 19104-3921
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR12209600
NJ
163W00000X
Registered Nurse
RN531128
PA
363LP0200X
Pediatric Nurse Practitioner
SP007665
PA
Other
Enumeration date
09/30/2005
Last updated
09/11/2025
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