Individual
MRS. MOLLY ANN MCNAUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
14101 FAIRVIEW DR STE 300, BURNSVILLE, MN 55337-2537
(612) 273-5400
(612) 273-9945
Mailing address
14101 FAIRVIEW DR STE 300, BURNSVILLE, MN 55337-2537
(612) 273-5400
(612) 273-9945
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R13T1127
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
653
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
973184900
—
MN
Enumeration date
02/15/2006
Last updated
11/01/2024
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