Individual
DR. NICOLE E MORET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5980 9TH ST, FORT BELVOIR, VA 22060-5509
(505) 272-1991
(505) 272-2016
Mailing address
5980 9TH ST, FORT BELVOIR, VA 22060-5509
(505) 272-1991
(505) 272-2016
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024165787
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024165787
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19799
—
ND
Enumeration date
10/13/2006
Last updated
05/07/2015
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