Individual
MATTHEW J MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
7301 JEFFERSON ST NE STE G, ALBUQUERQUE, NM 87109-4363
(505) 922-9800
(505) 508-5284
Mailing address
4311 STATE HIGHWAY 14, SANTA FE, NM 87508-1530
(505) 827-8535
(505) 508-5284
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
55193
NM
Other
Enumeration date
02/06/2023
Last updated
01/09/2024
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