Healthcare Provider Details

I. General information

NPI: 1982366068
Provider Name (Legal Business Name): KALLI MARIE MOLZAHN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2021
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E 2ND ST STE 400
RENO NV
89502-1198
US

IV. Provider business mailing address

1155 MILL ST # M14
RENO NV
89502-1576
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-2400
  • Fax: 775-982-2410
Mailing address:
  • Phone: 775-982-2400
  • Fax: 775-982-2410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number895878
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95018611
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: