Provider Demographics
NPI:1528394632
Name:MOLAS, RAPHAELLE ELENA (NP)
Entity Type:Individual
Prefix:MRS
First Name:RAPHAELLE
Middle Name:ELENA
Last Name:MOLAS
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:9050 CENTRE POINTE DRIVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069
Mailing Address - Country:US
Mailing Address - Phone:513-630-7308
Mailing Address - Fax:513-603-6241
Practice Address - Street 1:9050 CENTRE POINTE DRIVE
Practice Address - Street 2:SUITE 400
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069
Practice Address - Country:US
Practice Address - Phone:513-630-7308
Practice Address - Fax:513-603-6241
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-23
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00253500363LP2300X
OH14985363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care