Healthcare Provider Details

I. General information

NPI: 1376495150
Provider Name (Legal Business Name): MOLLY NAYLOR FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 E BROAD ST
ELYRIA OH
44035-6306
US

IV. Provider business mailing address

1120 E BROAD ST
ELYRIA OH
44035-6306
US

V. Phone/Fax

Practice location:
  • Phone: 440-326-4410
  • Fax:
Mailing address:
  • Phone: 440-326-4410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPRN.CNP.0041218
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: