Individual
MOLLY RIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, CNP
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
354
MN
207VX0000X
Obstetrics Physician
148887-32
WI
363LF0000X
Family Nurse Practitioner
5778
MN
367A00000X
Advanced Practice Midwife
148887-32
WI
367A00000X
Advanced Practice Midwife
Primary
354
MN
367A00000X
Advanced Practice Midwife
4023028
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4023028
KENTUCKY STATE LICENSE
KY
Enumeration date
02/12/2014
Last updated
09/20/2024
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