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Individual

VIKI SUE MORAVEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WCHNP

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
201401237NP-PP
OR
363LW0102X
Women's Health Nurse Practitioner
F078045
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500667958
OR
Enumeration date
02/01/2007
Last updated
03/22/2021
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