Individual
MONICA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 524-2273
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
95009205
CA
363LW0102X
Women's Health Nurse Practitioner
SP016584
PA
Other
Enumeration date
03/02/2017
Last updated
12/09/2024
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