Individual
KRISTI MORIARITY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 TAYLOR AVE, RACINE, WI 53403-2405
(262) 638-6744
(262) 633-1529
Mailing address
1717 TAYLOR AVE, RACINE, WI 53403-2405
(262) 638-6744
(262) 638-1529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
129796
WI
363L00000X
Nurse Practitioner
Primary
6156-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
6156
WI
Other
Enumeration date
03/03/2015
Last updated
02/22/2024
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