Doctor Name: | MATTHEW MOESER |
NPI Number: | 1679901037 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.N. |
License Number: | NUR-RN-LIC-70791 |
Business Practice Address: | 3687 Veterans Dr Fort Harrison, MT - 596369703 |
Business Phone Number: | 4064426410 |
Business Fax Number: | |
Mailing Address: | 171 Colter Loop Dr, HELENA |
State: | MT |
Postal Code: | 596027760 |
Phone Number: | 5098444850 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2013 |
NPI Last Update Date: | 10/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | NUR-RN-LIC-70791 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |