| Molly Henderson Arnp Inc | |
|
1005 Olympia Ave Ne Olympia WA 98506-4033 | |
| (360) 791-5933 | |
| Not Available |
| Full Name | Molly Henderson Arnp Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1005 Olympia Ave Ne, Olympia, Washington |
| Authorized Official Name and Position | Martha Henderson (CEO) |
| Authorized Official Contact | 3607915933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Molly Henderson Arnp Inc 1005 Olympia Ave Ne Olympia WA 98506-4033 Ph: (360) 791-5933 | Molly Henderson Arnp Inc 1005 Olympia Ave Ne Olympia WA 98506-4033 Ph: (360) 791-5933 |
| NPI Number | 1013180173 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 10/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013180173 | NPI | - | NPPES |
| 1471HE | Other | REGENCE | |
| 301407471247HE | Other | WA | TRICARE |
| 9629676 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | AP30006528 (Washington) | Primary |
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