NPI 1306096920 · live from the CMS NPI Registry
Molly Marie Andersen, APRN
Nurse Practitioner, Pediatrics in Slc, UT. National Provider Identifier 1306096920, active.
NPI record
| NPI | 1306096920 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 100 Mario Capecci Dr, Slc, UT 84113 |
| Practice phone | 801-662-1000 |
| Mailing address | 2463 Newcastle Dr, Sandy, UT 84093 |
| Enumerated | September 19, 2008 |
| Last updated | September 19, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 291721-4405 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.