Individual
MOIRA LYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, FNP
Contact information
Practice address
1 E CAMELBACK RD, #550, PHOENIX, AZ 85012-1668
(619) 993-0130
Mailing address
7117 E RANCHO VISTA DR, #1008, SCOTTSDALE, AZ 85251-1348
(480) 245-6765
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CC-0836
AZ
174H00000X
Health Educator
FNP 17175
CA
363A00000X
Physician Assistant
1630
AZ
363A00000X
Physician Assistant
19135
CA
363LA2200X
Adult Health Nurse Practitioner
AP0884
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP0884
AZ
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
AP0035
AZ
Other
Enumeration date
03/26/2012
Last updated
01/28/2013
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