Doctor Name: | MS. CAROL D MOFFETT |
NPI Number: | 1275591653 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | RN036345 |
Business Practice Address: | 483 W. Seed Farm Rd. Sacaton, AZ - 85247 |
Business Phone Number: | 6025281340 |
Business Fax Number: | 6025281296 |
Mailing Address: | P.o. Box 115, SACATON |
State: | AZ |
Postal Code: | 852470115 |
Phone Number: | 6025281340 |
Fax Number: | 6025289129 |
NPI Enumeration Date: | 05/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN036345 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |