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NPI Code Detail

MEDICARE: MS. MOLLY ANNETTE DUTTON ARNP

MEDICARE:  MS. MOLLY ANNETTE DUTTON  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP60249844WA

General Provider Information

NPI Number : 1285917930
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MOLLY ANNETTE DUTTON ARNP
Provider Business Mailing Address
First Line : 120 STATE AVE NE # 144
Second Line :
City : OLYMPIA
State : WA
Zip : 98501-1131
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 120 STATE AVE NE # 144
Second Line :
City : OLYMPIA
State : WA
Zip : 98501-1131
Country : US
Telephone Number : 253-256-5266
Fax Number : 410-237-6324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2011
Last Update Date : 01/15/2025

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Directions to “ MS. MOLLY ANNETTE DUTTON ARNP” Practice Location

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