Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | LM188 | AZ |
Y | 363L00000X | Nurse Practitioner | H164740 | IA |
N | 363LA2200X | Nurse Practitioner - Adult Health | 147175 | IA |
NPI | 1053755223 |
---|---|
Provider Name | Kristen Michelle Molander |
First Address | Mason City, IA 50401-6808 |
Second Address | Mason City, IA 50401-3214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2013 |
Last Update Date | 04/01/2022 |