Individual provider · Type 1 NPI
Deanna Moorman, FNP-BC
Obstetrics & Gynecology Nurse Practitioner · Maryville, IL
NPI number
1134537632
Active
Practice location
2023 Vadalabene Dr, Suite 200
Maryville, IL 62062-5630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 209011286 (IL) |
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 209011286 (IL) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
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About NPI 1134537632
Deanna Moorman, FNP-BC's National Provider Identifier is 1134537632, issued on Jul 28, 2014. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Maryville, IL. The record was last updated on Oct 15, 2024.