Provider Demographics
NPI:1780267047
Name:SAILER, MOLLY JANE (MSN, APRN, AGNP-C)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:JANE
Last Name:SAILER
Suffix:
Gender:F
Credentials:MSN, APRN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 CLIFF RD E
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-1403
Mailing Address - Country:US
Mailing Address - Phone:952-895-2528
Mailing Address - Fax:952-895-2527
Practice Address - Street 1:1300 CLIFF RD E
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-1403
Practice Address - Country:US
Practice Address - Phone:952-895-2528
Practice Address - Fax:952-895-2527
Is Sole Proprietor?:No
Enumeration Date:2021-05-04
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN8057363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner