KIRSTEN ELIZABETH VAN MOL (NPI# 1124546478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124546478 |
| Entity Type | Individual |
| Full Name | KIRSTEN ELIZABETH VAN MOL |
| Other Name | KIRSTEN ELIZABETH MUDD |
| Credential | FNP-C |
| Practice Address |
3704 North Blvd Ste C Alexandria LA 71301-3658 |
| Practice Telephone | 3184434576 |
| Practice Fax Number | 3184495579 |
| Mailing Telephone | 3184434576 |
| Mailing Fax Number | 3184495579 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2020-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP09428 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3704 NORTH BLVD STE C |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-3658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457663593 | Michael David Sontag | Physician Assistant | 3704 North Blvd Ste C, Alexandria, LA 71301-3606 | 2010-07-06 |
| 1225685886 | Mallorie Mcdowell Parham | Physician Assistant | 3704 North Blvd Ste C, Alexandria, LA 71301-3658 | 2019-08-19 |
| 1407411838 | Double D Health Professionals LLC | Neurological Surgery | 3704 North Blvd Ste C, Alexandria, LA 71301-3658 | 2019-05-01 |
| 1669775805 | Rebecca Lynne Smilie | Physical Therapist | 3704 North Blvd Ste C, Alexandria, LA 71301-3658 | 2010-12-09 |
| 1851603906 | Paul Birinyi | Neurological Surgery | 3704 North Blvd Ste C, Alexandria, LA 71301 | 2010-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131435 | Nora H Elnahas | Nurse Practitioner | 5882 Wescott Hills Way, Alexandria, VA 22315-5636 | 2020-10-11 |
| 1376158600 | Margrek S. Dorsey | Nurse Practitioner | 1403 Metro Dr Bldg Suiteg-2, Alexandria, LA 71301-3454 | 2020-09-14 |
| 1639784432 | Nichole Varga | Nurse Practitioner | 8174 Bianca Pl, Alexandria, VA 22309-3761 | 2020-09-09 |
| 1831707488 | Khudsiatu Tucker | Nurse Practitioner | 1636 Belle View Boulevard, Alexandria, VA 22307 | 2020-07-20 |
| 1134747850 | Lindsey H. Welch | Nurse Practitioner | 3601 Jackson St, Alexandria, LA 71303-3002 | 2020-07-09 |
| 1376160762 | Brittany Ann Filliben | Nurse Practitioner | 6944 Ellingham Cir Unit D, Alexandria, VA 22315-6509 | 2020-07-01 |
| 1447876289 | Headache Clinic of Cenla | Nurse Practitioner | 4508 Coliseum Blvd Ste L, Alexandria, LA 71303-3564 | 2020-06-17 |
| 1912522061 | Andrea Mclure Waters | Nurse Practitioner | 3018 Jackson St Ste 100, Alexandria, LA 71301-4767 | 2020-06-15 |
| 1568082725 | Catherine Corcoran | Nurse Practitioner | 115 S Columbus St, Alexandria, VA 22314-5008 | 2020-04-17 |
| 1427677574 | April Bomi Kim | Nurse Practitioner | 50 S Pickett St Ste 114, Alexandria, VA 22304-7206 | 2020-04-09 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71301 |
Please comment or provide details below to improve the information on KIRSTEN ELIZABETH VAN MOL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.