Most Relevant Information
Provider Data
| NPI Number: | 1003524562 |
| Provider Name: | MOLLY LYNN COLVARD DNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 210738 |
Most Important Dates
| Enumeration Date: | 11/14/2022 |
| Last Updated: | 11/14/2022 |
Provider Practice Location
3300 NW EXPRESSWAY
OKLAHOMA CITY
OK
731124999
Practice Location Phone/Fax
| Phone: | 9186984318 |
| Fax: |
Provider Mailing Location
7215 N BROOKLINE AVE
OKLAHOMA CITY
OK
731163229
Provider Mailing Phone/Fax
| Phone: | 9186984318 |
| Fax: |