Individual
KATHRYN NICOLE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
3417 GASTON AVE STE 1100, DALLAS, TX 75246-2037
(469) 800-9000
Mailing address
6723 DELOACHE AVE, DALLAS, TX 75225-2510
(314) 814-0452
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP141302
TX
Other
Enumeration date
04/06/2019
Last updated
01/06/2023
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