| Doctor Name: | DR. PATRICIA THELMA MOLLA |
| NPI Number: | 1417030305 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | LE-0000138 |
| Business Practice Address: | Vamhcs, Perry Point Division Building 366, Room 140 Perry Point, MD - 21902 |
| Business Phone Number: | 8009491003 |
| Business Fax Number: | 4106422411 |
| Mailing Address: | 425 Flintville Rd, DELTA |
| State: | PA |
| Postal Code: | 173148537 |
| Phone Number: | 4106422411 |
| Fax Number: | 4106421845 |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0808X |
| License Number: | LE-0000138 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |