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NPI Code Detail

MEDICARE: BISSONNE MOLIERE FNP

MEDICARE: BISSONNE MOLIERE FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner95011454CA

General Provider Information

NPI Number : 1356803126
Entity Type Code : Individual
Provider Name (Legal Business Name) : BISSONNE MOLIERE FNP
Provider Business Mailing Address
First Line : 333 COMMERCE ST STE 700
Second Line :
City : NASHVILLE
State : TN
Zip : 37201-1835
Country : US
Telephone Number : 844-735-1418
Fax Number : 855-737-5542
Provider Business Practice Location Address
First Line : 117 E COLORADO BLVD STE 600
Second Line :
City : PASADENA
State : CA
Zip : 91105-3712
Country : US
Telephone Number : 844-735-1418
Fax Number : 855-737-5542
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2019
Last Update Date : 11/20/2019

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