Individual
HEATHER MOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP
Contact information
Practice address
27124 HIGHWAY 42, SPRINGFIELD, LA 70462
(225) 683-5292
(225) 683-1310
Mailing address
106 MIMOSA ST, AMITE, LA 70422-2136
(985) 247-2411
(985) 247-2415
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP08164
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2382217
—
LA
Enumeration date
01/29/2015
Last updated
04/01/2019
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