Individual
CORINNE KEETON MOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
326 S LINE AVE, INVERNESS, FL 34452-4606
(352) 726-5533
Mailing address
326 S LINE AVE, INVERNESS, FL 34452-4606
(352) 726-5533
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN9332573
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018632500
—
FL
Enumeration date
07/11/2016
Last updated
10/23/2023
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