Individual
MRS. CRISSIE LEE MOULYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1100 TRANCAS ST, SUITE 300, NAPA, CA 94558-2908
(707) 257-4084
Mailing address
1221 FARMERS LN 500, SANTA ROSA, CA 95405-6712
(707) 569-3230
(707) 523-0119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
404009
CA
Other
Enumeration date
04/26/2007
Last updated
09/08/2015
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