Provider Demographics
NPI:1437379682
Name:DESMOND, ANN MOLONY (RN MED MSN)
Entity Type:Individual
Prefix:MISS
First Name:ANN
Middle Name:MOLONY
Last Name:DESMOND
Suffix:
Gender:F
Credentials:RN MED MSN
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:
Other - Last Name:DESMOND PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3232 ALDRINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1812
Mailing Address - Country:US
Mailing Address - Phone:419-887-2500
Mailing Address - Fax:
Practice Address - Street 1:2811 BANCROFT ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606
Practice Address - Country:US
Practice Address - Phone:419-530-4171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH059091163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00012286 61OtherPARAMOUNT ELITE