Provider Demographics
NPI:1174980304
Name:GLEASON, MOLLY JEAN (APRN)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:JEAN
Last Name:GLEASON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:JEAN
Other - Last Name:CASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2525 S DOWNING ST FL 5
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5817
Mailing Address - Country:US
Mailing Address - Phone:303-715-7127
Mailing Address - Fax:303-727-2834
Practice Address - Street 1:2525 S DOWNING ST UNIT 5N
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5817
Practice Address - Country:US
Practice Address - Phone:303-715-7089
Practice Address - Fax:303-649-7095
Is Sole Proprietor?:No
Enumeration Date:2016-01-19
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5377074363LA2100X
COAPN.0992902-NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care