Provider Demographics
NPI:1053843383
Name:MOLLARD BROWNING, PAUL RICHARD (RN)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:RICHARD
Last Name:MOLLARD BROWNING
Suffix:
Gender:M
Credentials:RN
Other - Prefix:MR
Other - First Name:PAUL
Other - Middle Name:RICHARD
Other - Last Name:MOLLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1672 FEDERAL AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-2935
Mailing Address - Country:US
Mailing Address - Phone:206-909-0667
Mailing Address - Fax:
Practice Address - Street 1:3743 S LA BREA AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90016-5309
Practice Address - Country:US
Practice Address - Phone:206-909-0667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95105915163W00000X
OR201509485RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse