Provider Demographics
NPI:1356748214
Name:PRICHARD, MOLLY HINDMAN (ARNP)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:HINDMAN
Last Name:PRICHARD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25415 81ST AVE E
Mailing Address - Street 2:
Mailing Address - City:MYAKKA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34251-9129
Mailing Address - Country:US
Mailing Address - Phone:941-266-1501
Mailing Address - Fax:941-308-7550
Practice Address - Street 1:5911 N HONORE AVE
Practice Address - Street 2:STE 210
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2606
Practice Address - Country:US
Practice Address - Phone:941-308-7546
Practice Address - Fax:941-308-7550
Is Sole Proprietor?:No
Enumeration Date:2014-11-20
Last Update Date:2018-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9294113363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily