Individual
MOLLY NICOLE VERHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5783 WOOSTER PIKE, MEDINA, OH 44256-8816
(330) 725-0569
(330) 662-0258
Mailing address
5783 WOOSTER PIKE, MEDINA, OH 44256-8816
(330) 725-0569
(330) 662-0258
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
180114
OR
363A00000X
Physician Assistant
Primary
50.004868RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0386722
—
OH
Enumeration date
05/15/2015
Last updated
10/31/2020
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