| Doctor Name: | MS. PAMELA ANNE MOLEN |
| NPI Number: | 1134366057 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 2069889938 |
| Business Practice Address: | 7575 S 900 E Midvale, UT - 840475100 |
| Business Phone Number: | 8012081031 |
| Business Fax Number: | 8012081987 |
| Mailing Address: | 7575 S 900 E, MIDVALE |
| State: | UT |
| Postal Code: | 840475100 |
| Phone Number: | 8012081031 |
| Fax Number: | 8012081987 |
| NPI Enumeration Date: | 01/14/2009 |
| NPI Last Update Date: | 01/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0807X |
| License Number: | 2069889938 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
| Taxonomy Definition: | |