| NPI | 1891162384 |
|---|---|
| Other Name | CASANDRA MOYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95002698) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95002698) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95002698) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 202109748) | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2022-01-27 |