Provider Demographics
NPI:1629578323
Name:YARNAL, MOLLY LAVINIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:LAVINIA
Last Name:YARNAL
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 1:1070 MELLANIE LN
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-5585
Mailing Address - Country:US
Mailing Address - Phone:316-570-1316
Mailing Address - Fax:
Practice Address - Street 1:1070 MELLANIE LN
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-5585
Practice Address - Country:US
Practice Address - Phone:316-570-1316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-19
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX921437163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse