Individual
MRS. PAULA KAY MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4650 W SWEETWATER AVE, GLENDALE, AZ 85304-1505
(608) 347-2600
(602) 347-2709
Mailing address
14643 N 9TH ST, PHOENIX, AZ 85022-3782
(602) 942-4085
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN071440
AZ
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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