Individual
VANESSA LYNN MOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8804 N. 23RD AVENUE, BLDG A, STE A01 & A02, PHOENIX, AZ 85021-4160
(602) 685-6000
(602) 216-7040
Mailing address
3003 N CENTRAL AVE STE 400, PHOENIX, AZ 85012-2929
(602) 685-6000
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
244749
AZ
Other
Enumeration date
07/20/2020
Last updated
09/17/2025
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