Individual
CYNTHIA A MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
603 E GAINES DR, CLINTON, MO 64735-3205
(660) 885-8141
(660) 885-5815
Mailing address
603 E GAINES DR, CLINTON, MO 64735-3205
(660) 885-8141
(660) 885-5815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
070350
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104866722
—
MO
Enumeration date
06/08/2006
Last updated
03/17/2015
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