Individual
MRS. KRISTI HOLLAND MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CPNP
Contact information
Practice address
42124 VETERANS AVE, STE A, HAMMOND, LA 70403-1427
(985) 543-0565
(985) 543-0567
Mailing address
30892 HIGHWAY 43, ALBANY, LA 70711-2814
(225) 567-2812
(985) 543-0567
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP04909
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1344397
—
LA
Enumeration date
08/30/2006
Last updated
06/01/2011
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