Individual
SUSAN VEREEDA MOUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
76151 LONGLEAF LOOP, YULEE, FL 32097-0612
(904) 468-0599
Mailing address
76151 LONGLEAF LOOP, YULEE, FL 32097-0612
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
11003305
FL
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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