Doctor Name: | MS. MEREDITH L MOYES |
NPI Number: | 1760418529 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP |
License Number: | 3259994405 |
Business Practice Address: | 1067 E. Tabernacle Suite 7 St. George Outpatient Va Clinic St. George, UT - 84770 |
Business Phone Number: | 4356347608 |
Business Fax Number: | |
Mailing Address: | 1932 Lava Flow Dr, ST GEORGE |
State: | UT |
Postal Code: | 847705106 |
Phone Number: | 4356564765 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3259994405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |