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Individual

KRISTEN DANIELLE THOMAS-MOOREHEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
250 CITRUS GROVE LN, #150, OXNARD, CA 93036-9030
(805) 981-3770
(805) 981-3767
Mailing address
2705 LOMA VISTA RD, SUITE 205, VENTURA, CA 93003-1581
(805) 667-2801
(805) 667-2865

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
388958
CA
363L00000X
Nurse Practitioner
Primary
7452
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95-1683892
OTHER INSURANCE
CA
05
RHM08608F
CA
05
RHM08609F
CA
05
RHM18553H
CA
05
ZZT40394F
CA
Enumeration date
07/25/2006
Last updated
07/18/2023
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