Individual
HEIDIE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
190 OVERTHRUST RD, EVANSTON, WY 82930
(307) 789-4224
Mailing address
54 REMINGTON CIR, EVANSTON, WY 82930-9061
(307) 799-3019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
30236
WY
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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