Individual
MS. ANNIE LEE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1600 HADDON AVE, CAMDEN, NJ 08103-3101
(586) 757-3500
Mailing address
21 HAMPTON LN, WILLINGBORO, NJ 08046-1821
(609) 835-0337
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00059200
NJ
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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