MRS. MOLLY MICHELLE MULLEE PA-C
NPI 1962965848
Physician Assistant - Surgical in Woodbury, MN
Active since April 09, 2019
About Mrs. Molly Michelle Mullee Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MOLLY MICHELLE MULLEE PA-C (NPI 1962965848) is an individual surgical provider in Woodbury, Minnesota, licensed in Minnesota (12991) and active in the NPI registry since April 2019.
NPPES Registry Identity
NPI1962965848
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. MOLLY MICHELLE MULLEECredential: PA-C
Location Address2090 WOODWINDS DRWoodbury, MN 55125-2522
Mailing Address2090 Woodwinds DrWoodbury, MN 55125-2522
Phone(651) 968-5201
Sole ProprietorNo
Enumeration DateApril 9, 2019
Last NPPES UpdateAugust 30, 20192 updates tracked since enumeration
✔ NPI 1962965848 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MN · 12991
2090 WOODWINDS DR, Woodbury, MN 55125
Other Names 1
Former Name (1)Molly Michelle Flood Pa-c
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Specialist/Technologist (Athletic Trainer)
2090 WOODWINDS DR
WOODBURY, MN 55125
WOODBURY, MN 55125
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962965848, enumerated as an "individual" on April 09, 2019.
The provider is located at 2090 WOODWINDS DR WOODBURY, MN 55125 and the phone number is (651) 968-5201.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.