Individual
HEATHER N MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4421 ROOSEVELT BLVD STE HI&J, MIDDLETOWN, OH 45044-9023
(833) 510-4357
(866) 460-2997
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357
(866) 460-2997
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.167003.MED-IV
OH
Other
Enumeration date
01/11/2024
Last updated
06/24/2026
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