Individual
KELLY MOOREHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1785 N IDAHO RD, APACHE JUNCTION, AZ 85119-1716
(480) 982-1110
Mailing address
1785 N IDAHO RD, APACHE JUNCTION, AZ 85119-1716
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
259421
AZ
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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