MOLLY RADIS PNP NPI 1306228200

NPI Information

NPI: 1306228200
Provider Name: MOLLY RADIS, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
2200 NE PROFESSIONAL CT
BEND, OR
ZIP 97701
Phone: (541) 389-6313
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Molly Radis, PNP is a pediatrics nurse practitioner in Bend, OR. Molly Radis, PNP NPI is 1306228200. 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:

2200 NE PROFESSIONAL CT
BEND, OR
ZIP 97701-063
Phone: (541) 389-6313
Fax: (541) 389-8760

The enumeration date for this NPI number is 6/26/2015 and was last updated on 6/26/2015.

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
1	363LP0200X	Nurse Practitioner	Pediatrics	201503488NP-PP	OREGON	Yes

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: 4/28/2024

NPI Synchronization or Removal

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