Individual
REBECCA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
RN
Contact information
Practice address
9000 QUANTRELLE AVE NE STE 200, OTSEGO, MN 55330-1041
(763) 633-3800
Mailing address
9000 QUANTRELLE AVE NE STE 200, OTSEGO, MN 55330-1041
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2291943
MN
Other
Enumeration date
05/27/2026
Last updated
05/28/2026
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