Individual
STEPHANIE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
1765 LININGER LN STE 1, NORTH LIBERTY, IA 52317-2336
(319) 665-3053
(319) 665-3985
Mailing address
1765 LININGER LN STE 1, NORTH LIBERTY, IA 52317-2336
(319) 665-3053
(319) 665-3985
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A131906
IA
363LF0000X
Family Nurse Practitioner
Primary
A131906
IA
Other
Enumeration date
03/22/2017
Last updated
07/13/2024
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