MOLLY LYNN MUDD RN CPNP-PC NPI 1518482298

NPI Information

NPI: 1518482298
Provider Name: MOLLY LYNN MUDD, RN, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1 CHILDRENS PL
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 477-9864
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Molly Lynn Mudd, RN, CPNP-PC is a pediatrics nurse practitioner in Saint Louis, MO. Molly Lynn Mudd, RN, CPNP-PC NPI is 1518482298. 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:

1 CHILDRENS PL
SAINT LOUIS, MO
ZIP 63110-002
Phone: (314) 477-9864

The NPI 1518482298 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 8/3/2017 and was last updated on 11/4/2021.

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	163WP0200X	Registered Nurse	Pediatrics	2008022120	MISSOURI	No
2	363LP0200X	Nurse Practitioner	Pediatrics	20163161	MISSOURI	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: 11/14/2023

NPI Synchronization or Removal

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