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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JENNIE LYNN MOLLERUP, AU.D., CCC-A

Active Sole Proprietor

DR. JENNIE LYNN MOLLERUP, AU.D., CCC-A is a Audiologist-Hearing Aid Fitter healthcare provider located in OMAK, Washington. NPI 1376662791 is currently active in the NPPES registry. Verify at CMS.

Audiologist-Hearing Aid Fitter · OMAK, WA

Registration Details

NPI Number
1376662791
Provider Type
Individual
Gender
Female
NPI Issued
Mar 28, 2007 (19.338907217866 yrs)
Last Updated
Feb 17, 2014
Licenses
56420554101 (UT)
LD60323941 (WA)
Sole Proprietor
Yes

Practice Information

Address
506 RIVERSIDE DRIVE
SUITE B
OMAK, WA, 98841
Browse WA providers · Browse ZIP 98841
Phone
5098267165
Fax
5098261179
Primary Specialty
Audiologist-Hearing Aid Fitter
237600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.