Individual
KAITLIN ANN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
100498
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
13831
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2024
Last updated
10/04/2024
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