Individual
GRACE TREGRE MOFFETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
9954 LAKE FOREST BLVD STE 10, NEW ORLEANS, LA 70127-2647
(504) 241-0105
(504) 241-0106
Mailing address
1527 GAUSE BLVD # 101, SLIDELL, LA 70458-2244
(251) 643-4293
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1-088498
AL
Other
Enumeration date
10/20/2021
Last updated
10/26/2021
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