| NPI | 1730748344 |
|---|---|
| Former Name | KATIE LYNN MOULDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN00000025919) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000215806) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN00000025919) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN00000025919) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN00000025919) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN00000025919) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN APN00000025919) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN00000025919) | |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-08-22 |