Provider Demographics
NPI:1760849657
Name:NOWILL, MOLLY ANN (PA-C)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:ANN
Last Name:NOWILL
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:351 HILLSIDE RD
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-4109
Mailing Address - Country:US
Mailing Address - Phone:413-374-4822
Mailing Address - Fax:
Practice Address - Street 1:5169 S COTTONWOOD ST STE 501A
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-6767
Practice Address - Country:US
Practice Address - Phone:801-507-3513
Practice Address - Fax:801-507-3584
Is Sole Proprietor?:No
Enumeration Date:2016-01-22
Last Update Date:2016-01-22
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant