Provider Demographics
NPI:1497091656
Name:RIGG, MOLLY (RN)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:RIGG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2266 TWIN OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-8011
Mailing Address - Country:US
Mailing Address - Phone:513-933-0907
Mailing Address - Fax:
Practice Address - Street 1:2266 TWIN OAKS DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-8011
Practice Address - Country:US
Practice Address - Phone:513-933-0907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH258105163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management