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Individual

BRITTANY MOIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
702 W CHESTNUT ST, BLOOMINGTON, IL 61701-2814
(309) 557-1400
Mailing address
821 POPLAR ST, HIGHLAND, IL 62249-1658
(618) 654-1281

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
209015217
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.015217
IL

Other

Enumeration date
01/02/2017
Last updated
01/17/2023
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