| NPI | 1154609295 |
|---|---|
| Former Name | DONNA MARIE LODGE-MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120751) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 526019) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP06526) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 21284) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60359515) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 21284) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60359615) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP120751) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402939) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60359515) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP06526) | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2023-04-11 |