National Provider Identifier

Molly Elizabeth Blume, FNP-BC

Molly Elizabeth Blume, FNP-BC is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Newark, NY and a listed phone number of (315) 573-7577.

NPI 1518513399Newark, NYFamily Nurse Practitioner

Profile Overview

NPI
1518513399
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
August 16, 2019
Last Updated
September 22, 2021

Practice Location

  • 513 W Union St
  • Newark, NY 14513-1365

Phone: (315) 573-7577

Mailing Address

  • 601B W Washington St
  • Geneva, NY 14456-2119

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1518513399
Entity Type
Individual
Last Name
Blume
First Name
Molly
Middle Name
Elizabeth
Name Prefix
MS.
Credential
FNP-BC
Provider Other Last Name
Hartman-O'Connell
Provider Other First Name
Molly
Provider Other Middle Name
Elizabeth
Provider Other Last Name Type Code
1
Mailing Street Address
601B W Washington St
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-2119
Mailing Country
US
Mailing Phone
(315) 781-8448
Practice Street Address
513 W Union St
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1365
Practice Country
US
Practice Phone
(315) 573-7577
Enumeration Date
August 16, 2019
Last Updated
September 22, 2021
Sex
Female
Sole Proprietor
No
Certification Date
September 22, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)
Other Identifiers
06634871 (NY)