Individual
MRS. MOLLY ANN WASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1901 WILLOW ST, VINCENNES, IN 47591-4277
(812) 885-2720
(812) 885-2723
Mailing address
515 BAYOU ST, VINCENNES, IN 47591-1034
(812) 886-6800
(812) 886-6809
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001744A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000339486
BCBS
IN
05
—
200487680A
—
IN
Enumeration date
04/23/2007
Last updated
07/21/2022
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