| NPI | 1467903955 |
|---|---|
| Former Name | BRIANNA T MOULTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60703574) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-131975) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201805025NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 186382) | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2024-03-18 |