Doctor Name: | DORIS MOFFETT |
NPI Number: | 1750552642 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | L10005151 |
Business Practice Address: | 5423 Killens Pond Rd Lake Forest School District Felton, DE - 199431901 |
Business Phone Number: | 3022843020 |
Business Fax Number: | 3026848931 |
Mailing Address: | 5423 Killens Pond Rd, Lake Forest School District FELTON |
State: | DE |
Postal Code: | 199431901 |
Phone Number: | 3022843020 |
Fax Number: | 3026848931 |
NPI Enumeration Date: | 03/18/2008 |
NPI Last Update Date: | 03/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | L10005151 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |