Individual
NICHOLE MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
902 DILGER AVE, RAPID CITY, SD 57701-0829
(801) 400-7382
Mailing address
902 DILGER AVE, RAPID CITY, SD 57701-0829
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11101394-4405
UT
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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