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Individual

HEATHER NANCY MOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
35671 KENAI SPUR HWY, SOLDOTNA, AK 99669
(907) 260-1655
(855) 854-8577
Mailing address
35671 KENAI SPUR HWY, SOLDOTNA, AK 99669-7627
(907) 260-1655
(855) 854-8577

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
200972
AK
363LG0600X
Gerontology Nurse Practitioner
200972
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1735468
AK
01
200972
NURSE LICENSE APRN
AK
01
NURR32396
NURSE LICENSE RN
AK
Enumeration date
12/09/2022
Last updated
11/27/2023
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