Individual
MADELINE KALYN MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACFNP-BC
Contact information
Practice address
100 MEDICAL CENTER DR, SLIDELL, LA 70461-5520
(985) 649-7070
Mailing address
22389 BLACKWELL FARM RD, SAUCIER, MS 39574-7164
(504) 300-7890
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
239885
LA
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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