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Individual
MS. LINDA RAE MORELAND
Active
Individual
MS. LINDA RAE MORELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, BC
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN197543L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007873001
AETNA
—
01
—
2318681000
KEYSTONE HEALTH PLAN EAST
—
01
—
MO603266
BLUE CROSSBLUE SHIELD
—
Enumeration date
11/07/2006
Last updated
07/08/2007
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