Individual
KAITLYN MOORHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
4411 MEDICAL DR STE 120, SAN ANTONIO, TX 78229-3832
(210) 614-5400
Mailing address
103 SUFFOLK PL, SAN ANTONIO, TX 78201-3142
(432) 223-8811
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1060446
TX
363LA2100X
Acute Care Nurse Practitioner
1060446
TX
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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