Individual
MOLLY TRIPP GRAYBEAL
Active
Individual
MOLLY TRIPP GRAYBEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WNHP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71002765A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005001108
STATE LICENSE
NC
05
—
200918910
—
IN
Enumeration date
04/04/2006
Last updated
06/01/2011
Update your record
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