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Individual
CHRISTI ANN MOREAU
Active
Individual
CHRISTI ANN MOREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
23.003869
CT
363AS0400X
Surgical Physician Assistant
Primary
23.003869
CT
363AS0400X
Surgical Physician Assistant
PA.A10291.RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014443
—
LA
01
—
5F600PF86
MEDICARE - PTAN
LA
Enumeration date
05/19/2006
Last updated
06/15/2022
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