Individual
KATHRYN MOYNIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
6511 GUNN HWY, TAMPA, FL 33625-4021
(813) 605-1122
(813) 354-2430
Mailing address
3330 LAKE HELEN OSTEEN RD, DELTONA, FL 32738-1068
(407) 461-4099
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023154821
FL
Other
Enumeration date
12/11/2023
Last updated
06/17/2024
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