Individual
NATALIE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FPMHNP
Contact information
Practice address
1201 1ST ST S, WINTER HAVEN, FL 33880-3904
(863) 294-7062
(863) 294-7064
Mailing address
1201 1ST ST S, WINTER HAVEN, FL 33880-3904
(863) 294-7062
(863) 294-7064
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11019362
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R870310
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04939509
—
MS
Enumeration date
09/28/2011
Last updated
08/19/2022
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