Anderson, Molly Lyn

Anderson, Molly Lyn is an individual health care provider with primary practice located at 1005 Spring City Dr , Waukesha WI 53186-5934. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Anderson, Molly Lyn can be contacted via phone (262) 301-2020.

Contact Information

Primary practice address
1005 Spring City Dr Waukesha WI 53186-5934
Phone: (262) 301-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 209015302 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 15565 Wisconsin

Profile Details

NPI number 1154866374
LBN Legal business name Anderson, Molly Lyn
Credentials WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 24th, 2016
Last updated Nov 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154866374 NPPES
Wisconsin MEDICAID 100291312

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