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Individual

NANCY MARIE MORITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
42145 BIRCHWOOD DR, EMILY, MN 56447-4025
(218) 763-3097
(218) 763-7001
Mailing address
42145 BIRCHWOOD DR, EMILY, MN 56447-4025
(218) 763-3097
(218) 763-7001

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R 80267-7
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R80267-7
MINNESOTA BOARD OF NURSING
MN
Enumeration date
06/06/2014
Last updated
06/06/2014
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