Suzanne Bailey Molloy, CERTIFIED ADULT NURS

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0017000511 Issued in VA

Practice address

4400 University Drive
MSN-2D3 George Mason University Student Health Services
Fairfax, VA 22030

Phone

(703) 993-2831

Fax

(703) 993-4365

NPI assigned

Apr 28, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1700020286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 UNIVERSITY DRIVE",
            "address_2": "MSN-2D3 GEORGE MASON UNIVERSITY STUDENT HEALTH SERVICES",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-993-2831",
            "fax_number": "703-993-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 UNIVERSITY DRIVE",
            "address_2": "MSN-2D3 GEORGE MASON UNIVERSITY STUDENT HEALTH SERVICES",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-993-2831",
            "fax_number": "703-993-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "SUZANNE",
        "middle_name": "BAILEY",
        "credential": "CERTIFIED ADULT NURS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0017000511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davoud Mohtat, M.D.
• Mojgan Shaafi DDS PC
• Kerin Lankey Mokarem, NP
• Stephanie R Mokey, MS, LPC
• Keiry Molina
• Hayley Elizabeth Mollyhorn, PT, DPT
• Monarch Counseling Center, LLC
• Paola Ximena Moncada Gonzalez
• Sophia Rose Moncrieffe
• Celeste Moneme

• Nurse Practitioner in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.