MOLLY ANNE MORAN APRN NPI 1336442540

NPI Information

  • NPI: 1336442540
  • Provider Name: MOLLY ANNE MORAN, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 845 N MAIN ST
    PROVIDENCE, RI
    ZIP 02904
  • Phone: (401) 648-7172

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NPI Details

Molly Anne Moran, APRN is a psychiatric/mental health nurse practitioner in Providence, RI. Molly Anne Moran, APRN NPI is 1336442540. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

845 N MAIN ST
PROVIDENCE, RI
ZIP 02904-700
Phone: (401) 648-7172
Fax: (401) 648-0161

The NPI 1336442540 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/9/2010 and was last updated on 10/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthAPRN02368RHODE ISLANDNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN03483RHODE ISLANDYes
3363L00000XNurse Practitioner004518CONNECTICUTNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1008034831MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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