Provider Demographics
NPI:1669150785
Name:MOLANO, ANDREINA DANIELA (PA-C)
Entity type:Individual
Prefix:
First Name:ANDREINA
Middle Name:DANIELA
Last Name:MOLANO
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:17378 SW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-4814
Mailing Address - Country:US
Mailing Address - Phone:561-674-2710
Mailing Address - Fax:
Practice Address - Street 1:910 TURKEY VALLEY WAY APT 7107
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932-3546
Practice Address - Country:US
Practice Address - Phone:561-674-2710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant