Individual
MS. CAROL D MOFFETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
483 W. SEED FARM RD., SACATON, AZ 85247
(602) 528-1340
(602) 528-1296
Mailing address
P.O. BOX 115, SACATON, AZ 85247-0115
(602) 528-1340
(602) 528-9129
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN036345
AZ
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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