Individual
STEPHANIE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 MERCY HEALTH BLVD, CINCINNATI, OH 45211-1103
(513) 215-5000
Mailing address
6096 YORKRIDGE RD, GUILFORD, IN 47022-9206
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
447609
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
0021039
OH
Other
Enumeration date
04/12/2024
Last updated
11/03/2024
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