Individual
DEBORAH J MOREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1623 HOSPITAL LOOP RD, OWYHEE, NV 89832
(775) 757-2415
(775) 757-3027
Mailing address
360 STILLWOOD DR, MANCHESTER, TN 37355-7343
(931) 575-5286
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3010321
KY
363L00000X
Nurse Practitioner
APN0000014261
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100427820
—
KY
Enumeration date
02/03/2010
Last updated
06/04/2024
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