Individual
BREANNA KRYSTAL MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 CHIMNEY POINT DR, OGDENSBURG, NY 13669-2291
(315) 541-2001
Mailing address
93 ANDREWS ST, MASSENA, NY 13662-1840
(315) 296-3427
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N07558
NY
Other
Enumeration date
09/13/2025
Last updated
09/13/2025
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