Individual
MS. STEPHANIE MORTON MORIARTY
Active
Individual
MS. STEPHANIE MORTON MORIARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11137
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11137
NURSE PRACTITIONER
CA
01
—
284719
RN
CA
Enumeration date
05/17/2007
Last updated
07/08/2007
Update your record
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