Individual
MEAGAN MOLESTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
411 E CHESTNUT ST # 4B6B, LOUISVILLE, KY 40202-1713
(502) 588-4970
(502) 588-7713
Mailing address
4102 LIGHTHOUSE DR, JEFFERSONVILLE, IN 47130-6176
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3014089
KY
363LF0000X
Family Nurse Practitioner
3014089
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLYING
—
KY
Enumeration date
01/23/2020
Last updated
09/02/2021
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