Individual
MOLLY JANE MALMSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
111 W VERNON AVE, FERGUS FALLS, MN 56537-2741
(218) 739-2221
Mailing address
31183 180TH ST, UNDERWOOD, MN 56586-9523
(218) 405-0880
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
10116
MN
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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