Individual
HEATHER DENISE MOEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
208 BANK ST, KEOKUK, IA 52632-5819
(319) 524-3873
(319) 524-3876
Mailing address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-4250
(309) 344-4368
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
110625
IA
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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