Provider Demographics
NPI:1588266068
Name:OLABI, MOLLY BETH (AGNP-BC, MSN-CNL)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:BETH
Last Name:OLABI
Suffix:
Gender:F
Credentials:AGNP-BC, MSN-CNL
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:BETH
Other - Last Name:HOWLAND-LOPEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AGNP-BC, MSN-CNL
Mailing Address - Street 1:8081 TOWNSHIP LINE RD STE 203
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-2189
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8081 TOWNSHIP LINE RD STE 203
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2189
Practice Address - Country:US
Practice Address - Phone:317-415-7921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-10
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71011809A363LX0001X, 363LP1700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP1700XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPerinatal
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL6304140203OtherNONE