Provider Demographics
NPI:1740961051
Name:MOLNAR, MELISSA BETH
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:BETH
Last Name:MOLNAR
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MELISSA
Other - Middle Name:BETH
Other - Last Name:DANIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6221 S 89TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-6312
Mailing Address - Country:US
Mailing Address - Phone:540-597-5775
Mailing Address - Fax:
Practice Address - Street 1:6221 S 89TH EAST AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-6312
Practice Address - Country:US
Practice Address - Phone:540-597-5775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management