Weaver, Molly Jo

Weaver, Molly Jo is an individual health care provider with primary practice located at 2055 N High St #110, Denver CO 80205-5503. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Weaver, Molly Jo can be contacted via phone (303) 301-9019.

Contact Information

Primary practice address
2055 N High St #110 Denver CO 80205-5503
Phone: (303) 301-9019
Fax: (303) 861-6254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5318 Colorado

Profile Details

NPI number 1750553632
LBN Legal business name Weaver, Molly Jo
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2008
Last updated Jan 26th, 2022 - about 4 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 1750553632 NPPES
Kansas MEDICAID 200743430A
Kansas MEDICAID 1750553632
Kansas MEDICAID 1750553632
Kansas MEDICAID 10025887900
Kansas MEDICAID 60871334

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