Individual
MOLLY CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
2465687
MN
363LW0102X
Women's Health Nurse Practitioner
Primary
10618
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2465687
STATE OF MINNESOTA
MN
Enumeration date
09/07/2019
Last updated
09/09/2024
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