Provider Demographics
NPI:1073375283
Name:EMERSON, MOLLI ELIZABETH (APRN FNP-C)
Entity Type:Individual
Prefix:
First Name:MOLLI
Middle Name:ELIZABETH
Last Name:EMERSON
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:MOLLI
Other - Middle Name:ELIZABETH
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2845 W ELK AVE
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-1980
Mailing Address - Country:US
Mailing Address - Phone:580-255-9797
Mailing Address - Fax:855-608-6602
Practice Address - Street 1:2845 W ELK AVE
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-1980
Practice Address - Country:US
Practice Address - Phone:580-255-9797
Practice Address - Fax:855-608-6602
Is Sole Proprietor?:No
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK216414363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily