Provider Demographics
NPI:1740174226
Name:PIERSALL, MOLLY KATHERINE
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:KATHERINE
Last Name:PIERSALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9205 W 87TH PL
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-1243
Mailing Address - Country:US
Mailing Address - Phone:623-363-8244
Mailing Address - Fax:
Practice Address - Street 1:9205 W 87TH PL
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-1243
Practice Address - Country:US
Practice Address - Phone:623-363-8244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program