Organization
MISTY MOLINA, ARNP
Active
Other names
Lotus Holistic Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY M MOLINA ARNP, CNM, WHNP (OWNER/PROVIDER)
(253) 376-9070
Entity
Organization
Contact information
Practice address
6002 WESTGATEBLVD., STE 120, TACOMA, WA 98406
(253) 376-9070
(253) 248-0149
Mailing address
PO BOX 734, FOX ISLAND, WA 98333
(253) 376-9070
(253) 248-0149
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2034218
—
WA
Enumeration date
02/04/2019
Last updated
02/04/2019
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