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Individual
KAREN AGNES MOULTON
Active
Individual
KAREN AGNES MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP MASTER HLTH SVCS
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
257756
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008228322
NP CERT # ANCC
—
01
—
09224372
CDE
—
01
—
671
NP FURNISHING # BRN
CA
Enumeration date
08/10/2006
Last updated
03/07/2023
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