Individual
MOLLY M CERNIGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(608) 782-2800
Mailing address
6721 S JACQUELINE WAY, GILBERT, AZ 85298
(608) 397-3036
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6356
AZ
363AM0700X
Medical Physician Assistant
1821
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41999000
—
WI
Enumeration date
06/14/2005
Last updated
07/26/2017
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