Mollie Renee Brusca
Nurse Practitioner, Family in Cumming, GA. Individual provider (NPI-1).
NPI number1043700909
StatusActive
Last updated in NPPESMay 16, 2018
Details
- NPI
- 1043700909
- Entity type
- Individual (NPI-1)
- Name
- Mollie Renee Brusca
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 16, 2018
- Last updated
- May 16, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN223572 | GA | Yes |
Other names
- Mollie Renee Donoff (Former Name)
Practice location
550 Bethelview RdCumming, GA 30040
Phone 678-389-6509
Mailing address
13397 Aventide LnAlpharetta, GA 30004-4935
Phone 937-623-5377
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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