Individual
MOLLY MINNIX MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
7605 FOREST AVE STE 303, RICHMOND, VA 23229-4940
(804) 289-4941
Mailing address
7605 FOREST AVE STE 303, RICHMOND, VA 23229-4940
(804) 289-4941
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024173693
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760835961
—
VA
Enumeration date
07/22/2016
Last updated
10/05/2023
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