Individual
MRS. ANN GREEN MOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP
Contact information
Practice address
1893 E BROAD ST # B-4, STATESVILLE, NC 28625-4307
(704) 766-1000
(704) 766-1002
Mailing address
1304 ROYALTY CIR, STATESVILLE, NC 28625-8230
(704) 437-1384
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201248
NC
Other
Enumeration date
06/27/2007
Last updated
05/06/2015
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