Individual
HEATHER NICOLE MOBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Contact information
Practice address
1225 S BROADWAY STE 201, LEXINGTON, KY 40504-2701
(859) 258-4950
(859) 258-4618
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3009657
KY
363LF0000X
Family Nurse Practitioner
Primary
3009657
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100229200
—
KY
Enumeration date
09/10/2015
Last updated
08/13/2025
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