Individual
MS. ANDREA L MOUSHIGIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
681 MEDICAL CENTER DR W, SUITE 101, CLOVIS, CA 93611-6803
(559) 323-9300
Mailing address
9036 N RECREATION AVE, FRESNO, CA 93720-4139
(559) 307-3152
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15837
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
243023
—
OR
Enumeration date
06/30/2006
Last updated
10/31/2007
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