Basic Information
Provider Information
NPI: 1427597806
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MOLGAARD
FirstName: AUBREY
MiddleName: ANN
NamePrefix: DR.
NameSuffix:  
Credential: DNP, APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1501 E 10TH ST
Address2:  
City: ATLANTIC
State: IA
PostalCode: 500221936
CountryCode: US
TelephoneNumber: 7122508830
FaxNumber: 7122437460
Practice Location
Address1: 1501 EAST 10TH STREET
Address2:  
City: ATLANTIC
State: IA
PostalCode: 500221936
CountryCode: US
TelephoneNumber: 7122432850
FaxNumber: 7122437423
Other Information
ProviderEnumerationDate: 02/17/2017
LastUpdateDate: 10/20/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/20/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WD0400X113088IAN Nursing Service ProvidersRegistered NurseDiabetes Educator
363L00000X113088IAN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LF0000XA165730IAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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