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Individual

ELIZABETH MOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
7701 E OSBORN RD APT 309W, SCOTTSDALE, AZ 85251-7452
(253) 820-2686

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN193686
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RN193586
AZ
Enumeration date
08/23/2022
Last updated
08/23/2022
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