Healthcare Provider Details

I. General information

NPI: 1952982076
Provider Name (Legal Business Name): MOLLY ELIZABETH CASSIDY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MOLLY ELIZABETH FURLAN CRNP

II. Dates (important events)

Enumeration Date: 04/20/2021
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 OSTRUM ST STE 303
FOUNTAIN HILL PA
18015-1152
US

IV. Provider business mailing address

701 OSTRUM ST STE 303
FOUNTAIN HILL PA
18015-1152
US

V. Phone/Fax

Practice location:
  • Phone: 484-503-1018
  • Fax:
Mailing address:
  • Phone: 484-503-1018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP019729
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: