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Individual
MS. CATHERINE ANN MOE
Active
Individual
MS. CATHERINE ANN MOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNS- BC, CWOCN
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
R087309-1
MN
163WW0000X
Wound Care Registered Nurse
R087309-1
MN
163WX1500X
Ostomy Care Registered Nurse
R087309-1
MN
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
0362703
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
256L0MO
BLUE CROSS BILING NO.
MN
01
—
890000407
PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
MN
Enumeration date
04/24/2007
Last updated
12/05/2011
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