Nicholas Molleck
Registered Nurse in Albuquerque, NM. Individual provider (NPI-1).
NPI number1154875144
StatusActive
Last updated in NPPESAug 8, 2016
Details
- NPI
- 1154875144
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Molleck
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 8, 2016
- Last updated
- Aug 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN-72147 | NM | Yes |
Practice location
1501 San Pedro Dr SeAlbuquerque, NM 87108-5153
Phone 505-265-1711
Mailing address
1501 San Pedro Dr SeAlbuquerque, NM 87108-5153
Phone 505-265-1711
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