Individual
MS. BILLYE MOFFATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNFP
Contact information
Practice address
ACOMA CANONCITO LAGUNA INDIAN, 80 B VETERANS, ACOMA, NM 87034-8703
(505) 552-5300
(505) 552-5490
Mailing address
PO BOX 130, SAN FIDEL, NM 87049
(505) 552-5300
(505) 552-5490
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP01035
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H3451
—
NM
Enumeration date
09/21/2006
Last updated
09/26/2022
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