Crissie Lee Moulyn in Santa Rosa - Family
Crissie Lee Moulyn - NPI 1649490459
Crissie Lee Moulyn is a Family in Santa Rosa, California. Crissie Lee Moulyn practices all healthcare services and medical treatments related to Family. The NPI Number for Crissie Lee Moulyn is 1649490459. The last update date is 2015-09-08.
Crissie Lee Moulyn's current location address is 1221 Farmers Ln 500, Santa Rosa, California. You can contact this provider via phone number 7075693230 and fax number 7075230119. The mailing address for Crissie Lee Moulyn is 1221 Farmers Ln 500, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crissie Lee Moulyn |
|---|---|
| Address | 1221 Farmers Ln 500, Santa Rosa, California |
| Phone Number | 7075693230 |
| Fax Number | 7075230119 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1649490459 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2015-09-08 |
Provider Mailing Address Detail
| Address | 1221 Farmers Ln 500 |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954056712 |
| Phone Number | 7075693230 |
| Fax Number | 7075230119 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 404009 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique 10-digit identification code issued to Crissie Lee Moulyn by the Centers for Medicare & Medicaid Services?
The Crissie Lee Moulyn has been assigned the NPI (National Provider Identifier) 1649490459 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Crissie Lee Moulyn's facilities are situated?
The facilities of Crissie Lee Moulyn are physically located at the following address: 1221 Farmers Ln 500, Santa Rosa, CA, 954056712.
What is Crissie Lee Moulyn's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Crissie Lee Moulyn's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did the Crissie Lee Moulyn receive the assignment of its 1649490459 from the Centers for Medicare & Medicaid Services?
The Crissie Lee Moulyn was issued its 1649490459 by the Centers for Medicare & Medicaid Services on 2007-04-26.
When was the information pertaining to Crissie Lee Moulyn most recently updated or revised?
The details related to Crissie Lee Moulyn, including its address, specialty, and other relevant information, were last updated or revised on 2015-09-08.