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Individual
CONNIE M MOFFIT
Active
Individual
CONNIE M MOFFIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
H155105
IA
363LA2100X
Acute Care Nurse Practitioner
H155105
IA
363LG0600X
Gerontology Nurse Practitioner
H155105
IA
Other
Enumeration date
07/24/2019
Last updated
05/08/2023
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