| Shanna M. Molina Md Pllc | |
|
900 Se 5th St Ste 22 Pmb #7 Bentonville AR 72712-6090 | |
| (479) 326-8753 | |
| (479) 224-2269 |
| Full Name | Shanna M. Molina Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 900 Se 5th St Ste 22 Pmb #7, Bentonville, Arkansas |
| Authorized Official Name and Position | Shanna Marie Boyce (PHYSICIAN OWNER) |
| Authorized Official Contact | 4794445048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shanna M. Molina Md Pllc 300 Woodland St Lowell AR 72745-6011 Ph: (479) 326-8753 | Shanna M. Molina Md Pllc 900 Se 5th St Ste 22 Pmb #7 Bentonville AR 72712-6090 Ph: (479) 326-8753 |
| NPI Number | 1437416930 |
|---|---|
| Provider Enumeration Date | 04/20/2012 |
| Last Update Date | 11/02/2022 |
| Certification Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437416930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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