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NPI Code Detail

MEDICARE: MOLLY ECKERT APRN PLLC

MEDICARE: MOLLY ECKERT APRN PLLC
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 Practitioner

General Provider Information

NPI Number : 1740057603
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOLLY ECKERT APRN PLLC
Provider Business Mailing Address
First Line : 8414 FARM RD STE 180
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-8007
Country : US
Telephone Number : 725-567-1950
Fax Number :
Provider Business Practice Location Address
First Line : 8414 FARM RD STE 180
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-8007
Country : US
Telephone Number : 725-567-1950
Fax Number : 888-690-5051
Authorized Official
Title or Position : CEO
Name : MOLLY MARIE ECKERT
Credential :
Telephone Number : 725-567-1950
Provider Enumeration Date : 12/11/2023
Last Update Date : 11/26/2024

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