Individual
DANIELLE MARIE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1222 SOMERVILLE RD SE, DECATUR, AL 35601-4351
(256) 341-0152
Mailing address
1222 SOMERVILLE RD SE, DECATUR, AL 35601-4351
(256) 341-0152
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-149919
AL
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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