Individual
NANCY MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 WALWORTH PENFIELD RD, MACEDON, NY 14502-9330
(585) 285-8956
Mailing address
136 WALWORTH PENFIELD RD, MACEDON, NY 14502-9330
(585) 285-8956
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
660367
NY
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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