Individual
DR. MARY D MOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHCNS-BC
Contact information
Practice address
5929 WESTGATE BLVD, TACOMA, WA 98406-2567
(253) 200-0415
(253) 625-7912
Mailing address
MARY D. MOLLER, 14702 41ST AVE CT NW, GIG HARBOR, WA 98332-2471
(203) 747-5667
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
AP30003075
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004003
APRN LICENSE
CT
01
—
AP30003075
ARNP LIC #
WA
Enumeration date
07/20/2005
Last updated
03/14/2024
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