| Doctor Name: | MS. VIRGINIA JEAN MOL |
| NPI Number: | 1194794107 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 98-362692-4405 |
| Business Practice Address: | 982 Chambers St South Ogden, UT - 844034571 |
| Business Phone Number: | 8014794105 |
| Business Fax Number: | 8015842590 |
| Mailing Address: | 982 Chambers St, SOUTH OGDEN |
| State: | UT |
| Postal Code: | 844034571 |
| Phone Number: | 8014794105 |
| Fax Number: | 8015842590 |
| NPI Enumeration Date: | 03/14/2006 |
| NPI Last Update Date: | 07/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 98-362692-4405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |