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Individual

KRYSTAL ANNE MOZNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, NP-C

Contact information

Practice address
2015 2ND AVE STE 103, SUMMERVILLE, SC 29486-7889
(843) 737-9464
Mailing address
4975 LACROSS RD STE 150, NORTH CHARLESTON, SC 29406-6531
(843) 737-9467

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
004423
CT
363LF0000X
Family Nurse Practitioner
Primary
22539
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP5804
SC
Enumeration date
08/28/2010
Last updated
04/28/2022
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