Provider Demographics
NPI:1326752353
Name:MOLSBEE, ALICE A (APRN)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:A
Last Name:MOLSBEE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6786 NOBLES RD
Mailing Address - Street 2:
Mailing Address - City:GRAND RIDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32442-4206
Mailing Address - Country:US
Mailing Address - Phone:850-693-1855
Mailing Address - Fax:
Practice Address - Street 1:6786 NOBLES RD
Practice Address - Street 2:
Practice Address - City:GRAND RIDGE
Practice Address - State:FL
Practice Address - Zip Code:32442-4206
Practice Address - Country:US
Practice Address - Phone:850-693-1855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-13
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9333018163W00000X
FLAPRN11024262363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse