MEDICARE: ALICE A MOLSBEE APRN

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
1	163W00000X	Registered Nurse	RN9333018	FL
2	363LF0000X	Family Nurse Practitioner	APRN11024262	FL

General Provider Information

NPI Number	:	1326752353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICE A MOLSBEE APRN

Provider Business Mailing Address
First Line	:	6786 NOBLES RD
Second Line	:
City	:	GRAND RIDGE
State	:	FL
Zip	:	32442-4206
Country	:	US
Telephone Number	:	850-693-1855
Fax Number	:

Provider Business Practice Location Address
First Line	:	6786 NOBLES RD
Second Line	:
City	:	GRAND RIDGE
State	:	FL
Zip	:	32442-4206
Country	:	US
Telephone Number	:	850-693-1855
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2023
Last Update Date	:	02/03/2023

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Directions to “ ALICE A MOLSBEE APRN” Practice Location

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