Provider Demographics
NPI:1124764691
Name:SCHILLING, MOLLY ANN (DNP, ARNP, CPNP-PC)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:ANN
Last Name:SCHILLING
Suffix:
Gender:F
Credentials:DNP, ARNP, CPNP-PC
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:ANN
Other - Last Name:FOWLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1569 RIDGE TOP DR NE
Mailing Address - Street 2:
Mailing Address - City:SWISHER
Mailing Address - State:IA
Mailing Address - Zip Code:52338-9421
Mailing Address - Country:US
Mailing Address - Phone:319-654-7880
Mailing Address - Fax:
Practice Address - Street 1:804 KENYON RD
Practice Address - Street 2:
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-5742
Practice Address - Country:US
Practice Address - Phone:515-574-6855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA16690363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics