Individual
MOLLY R MOSKWINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3500
(317) 217-3551
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10002218A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000001258303
ANTHEM PTAN
IN
01
—
000001081244
ANTHEM PTAN
IN
01
—
000001336791
ANTHEM PTAN
IN
01
—
000001336952
ANTHEM PTAN
IN
05
—
300015561
—
IN
Enumeration date
04/20/2017
Last updated
02/24/2025
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