| NPI | 1043525587 |
|---|---|
| Other Name | MATT G MORAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 19574) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 19574) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2022-05-17 |