Provider Demographics
NPI:1609582428
Name:HARSCH, MOLLIE ANNE (NP)
Entity Type:Individual
Prefix:
First Name:MOLLIE
Middle Name:ANNE
Last Name:HARSCH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MOLLIE
Other - Middle Name:
Other - Last Name:LUJAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:720-516-8902
Mailing Address - Fax:
Practice Address - Street 1:4660 YOSEMITE ST STE 100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-4481
Practice Address - Country:US
Practice Address - Phone:720-516-8902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-25
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0998391363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily