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Individual
MRS. HOLLIE DEBRA MOFFETT
Active
Individual
MRS. HOLLIE DEBRA MOFFETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
R39919
NM
363LF0000X
Family Nurse Practitioner
Primary
ARNP9470855
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14386497
CAQH ID NUMBER
FL
01
—
ARNP9470855
ARNP MEDICAL LICENSE
FL
Enumeration date
05/16/2014
Last updated
01/02/2019
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