MEDICARE: MOLLY RAPINE

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	363LP0200X	Pediatric Nurse Practitioner	SP035872	PA

General Provider Information

NPI Number	:	1619808631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOLLY RAPINE

Provider Business Mailing Address
First Line	:	2510 MARYLAND RD STE 160
Second Line	:
City	:	WILLOW GROVE
State	:	PA
Zip	:	19090-1137
Country	:	US
Telephone Number	:	215-672-6622
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 W THIRD AVE STE 400
Second Line	:
City	:	COLLEGEVILLE
State	:	PA
Zip	:	19426-3655
Country	:	US
Telephone Number	:	610-489-2229
Fax Number	:

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

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “ MOLLY RAPINE ” Practice Location

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