Individual provider Active NPI

Molly Dwyer Drewlo

  • Case Management Registered Nurse
  • Duluth, MN
National Provider Identifier
1447721154
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
2433060 Issued in MN
Practice address
4961 Rice Lake Rd Ste 105
Duluth, MN 55803-8439
Phone
(218) 727-4105
Fax
(218) 740-3378
NPI assigned
Dec 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 2433060 MN Primary

Addresses

Primary practice location

4961 Rice Lake Rd Ste 105
Duluth, MN 55803-8439

Mailing address

4961 Rice Lake Rd Ste 105
Duluth, MN 55803-8439
Phone (218) 727-4105

Other names 1

  • Molly Dwyer Klassen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2433060MNMDCase Management Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1447721154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4961 RICE LAKE RD STE 105",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558038439",
            "telephone_number": "218-727-4105",
            "fax_number": "218-740-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4961 RICE LAKE RD STE 105",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558038439",
            "telephone_number": "218-727-4105",
            "fax_number": "218-740-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREWLO",
        "first_name": "MOLLY",
        "middle_name": "DWYER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MN",
            "license": "2433060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "KLASSEN",
            "middle_name": "DWYER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.