Provider Demographics
NPI:1417439761
Name:MOLNAR, ANDREW LLOYD (NP)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:LLOYD
Last Name:MOLNAR
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4451 CARRIAGE HILL CT
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48306-4672
Mailing Address - Country:US
Mailing Address - Phone:248-804-4562
Mailing Address - Fax:
Practice Address - Street 1:1135 W UNIVERSITY DR STE 346
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1894
Practice Address - Country:US
Practice Address - Phone:248-601-6190
Practice Address - Fax:248-601-6192
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-04
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704304249363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner