Individual
LESLIE DIANE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
165 COMMONS LOOP STE A, KALISPELL, MT 59901-1919
(406) 858-8009
Mailing address
176 ALI LOOP, KALISPELL, MT 59901-1210
(406) 471-0900
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NUR-APRN-LIC-179040
MT
Other
Enumeration date
10/05/2021
Last updated
06/07/2024
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