Individual
KRISTEN MARY MOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5975
Mailing address
1100 MAXWELL LN UNIT 339, HOBOKEN, NJ 07030-6892
(908) 285-7326
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383094
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
4704350712
MI
Other
Enumeration date
07/23/2019
Last updated
04/16/2026
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