Healthcare Provider Details

I. General information

NPI: 1003345893
Provider Name (Legal Business Name): MOLLY CARR NP & HERBALIST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2017
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5415 W CEDAR LN STE 106B
BETHESDA MD
20814-1515
US

IV. Provider business mailing address

6106 HARVARD AVE UNIT 345
GLEN ECHO MD
20812-7507
US

V. Phone/Fax

Practice location:
  • Phone: 240-389-2144
  • Fax: 866-264-7030
Mailing address:
  • Phone: 301-284-0599
  • Fax: 866-264-7030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License NumberR112938
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR112938
License Number StateMD

VIII. Authorized Official

Name: MS. MOLLY FOOTE CARR
Title or Position: SOLE PROPRIETER
Credential: NURSE PRACTITIONER
Phone: 301-284-0599