Healthcare Provider Details

I. General information

NPI: 1083842306
Provider Name (Legal Business Name): MARIA REILA MOLINA CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA REILA MOLINA APN

II. Dates (important events)

Enumeration Date: 06/25/2009
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BRACE RD STE C2
CHERRY HILL NJ
08034-2600
US

IV. Provider business mailing address

3400 CIVIC CENTER BLVD
PHILADELPHIA PA
19104-5127
US

V. Phone/Fax

Practice location:
  • Phone: 856-482-8900
  • Fax: 856-310-9820
Mailing address:
  • Phone: 215-615-4949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberSP010279
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number26NJ00225800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: