Basic Information
| Provider Information | |||||||||
| NPI: | 1417439761 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MOLNAR | ||||||||
| FirstName: | ANDREW | ||||||||
| MiddleName: | LLOYD | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4451 CARRIAGE HILL CT | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483064672 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2488044562 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1135 W UNIVERSITY DR STE 346 | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483071894 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2486016190 | ||||||||
| FaxNumber: | 2486016192 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/04/2018 | ||||||||
| LastUpdateDate: | 06/17/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/17/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 4704304249 | MI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.