Individual
MOLLY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2000
Mailing address
5485 BREWER RD, MASON, OH 45040-9235
(513) 375-3880
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4022715
KY
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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