Individual
MRS. TONYA P MOLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0293
(859) 323-1691
(859) 257-3644
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-0293
(859) 323-1691
(859) 257-3644
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3005223
KY
363LF0000X
Family Nurse Practitioner
3005223
KY
363LG0600X
Gerontology Nurse Practitioner
3005223
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100033960
—
KY
Enumeration date
07/12/2007
Last updated
02/23/2015
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