Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Molly Reque, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588147250

Molly Reque, PA-C is a Physician Assistant in Anchorage, Alaska. Qualified in 2019, 7 years ago. Practices with SNF Wound Care, a 31-clinician group. Licensed in Alaska.

Years since qualifying
7
Licensed in
AK
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3831 Piper St Ste S450
Anchorage, AK 99508
Phone: (907) 258-6999
Fax: (907) 258-6247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 157014 (AK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588147250
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2018
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Snf Wound Care — 31 clinicians
Accepts Medicare assignment Not indicated

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