MEDICARE: WHITNEY ANNE MOLINA MSN, APN, AGACNP-BC

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	363L00000X	Nurse Practitioner	26NJ15440400	NJ

General Provider Information

NPI Number	:	1639045271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY ANNE MOLINA MSN, APN, AGACNP-BC

Provider Business Mailing Address
First Line	:	17 COLLINGSWOOD PL
Second Line	:
City	:	FLANDERS
State	:	NJ
Zip	:	07836-9317
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 COLLINGSWOOD PL
Second Line	:
City	:	FLANDERS
State	:	NJ
Zip	:	07836-9317
Country	:	US
Telephone Number	:	862-268-0548
Fax Number	:

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

Provider Enumeration Date	:	10/13/2025
Last Update Date	:	10/13/2025

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