Individual
MICHELE LYNN MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4904 MARTINSBURG RD, NEWARK, OH 43055-9643
(740) 745-3378
Mailing address
4904 MARTINSBURG RD, NEWARK, OH 43055-9643
(740) 745-3378
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN307985
OH
163WP0200X
Pediatric Registered Nurse
Primary
RN307985
OH
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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