| Ms Molly Anne Nicholas, ARNP | |
|
5818 Centre St, Melrose, FL 32666-6207 | |
| (352) 475-3792 | |
| (352) 475-3794 |
| Full Name | Ms Molly Anne Nicholas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 5818 Centre St, Melrose, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629097555 | NPI | - | NPPES |
| 11711668 | Other | CAQH | |
| 306300300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP3048822 (Florida) | Primary |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | Gainesville Geriatric |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750835211 PECOS PAC ID: 1254619919 Enrollment ID: O20161031002251 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Molly Anne Nicholas, ARNP 8117 Sw 12th Pl, Gainesville, FL 32607-3329 Ph: (352) 317-6361 | Ms Molly Anne Nicholas, ARNP 5818 Centre St, Melrose, FL 32666-6207 Ph: (352) 475-3792 |
Haiyan Wang, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5818 Centre St, Melrose, FL 32666 Phone: 352-475-3792 | |
Ms. Leigh C Foglia, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22308 Ne 35th Ave, Melrose, FL 32666 Phone: 352-256-3535 | |
Sandra June Northway, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1326 Fl-100 Melrose, Fl 32666, Melrose, FL 32666 Phone: 386-659-2104 | |
Ms. Delcora Howell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1745 State Road 100, Melrose, FL 32666 Phone: 352-478-2471 Fax: 352-478-2496 | |
Aline Seraphin, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1326 State Road 100, Melrose, FL 32666 Phone: 386-659-2104 |