Individual provider · Type 1 NPI

Alicia Kamile Gentry-Moon, RN

General Practice Registered Nurse · Sells, AZ

NPI number 1043022338 Active

Practice location

PO 548 Highway 86 Topawa Road
Sells, AZ 85634

Mailing address

PO Box 98
Sells, AZ 85634-0098

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X28187726A (IN)

General Practice Registered Nurse: Definition to come...

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About NPI 1043022338

Alicia Kamile Gentry-Moon, RN's National Provider Identifier is 1043022338, issued on Jan 23, 2025. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Sells, AZ. The record was last updated on Jan 23, 2025.