Individual
MOLLY SHANNON WOLVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
211 HIGHLAND CROSS DR STE 105, HOUSTON, TX 77073-1700
(713) 422-2920
Mailing address
211 HIGHLAND CROSS DR STE 105, HOUSTON, TX 77073-1700
(713) 422-2920
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
942518
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1033009
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033009
APRN
TX
Enumeration date
11/20/2020
Last updated
04/17/2023
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