Individual
CODIE BREANNON MOSZCZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, MBA, APRN, CRNA
Contact information
Practice address
217 S 3RD ST, DANVILLE, KY 40422-1823
(859) 239-1000
Mailing address
76 STONEWATER CREEK DR APT A, JACKSON, TN 38305-6117
(239) 910-5875
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4007954
KY
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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