Individual provider · Type 1 NPI
Derick W. Moody, PA
Psychiatric/Mental Health Clinical Nurse Specialist · Springville, UT
NPI number
1235551409
Active
Practice location
672 W 400 S Ste 201
Springville, UT 84663-3170
Fax (801) 704-9741
Mailing address
672 W 400 S, Ste 201
Springville, UT 84663-3170
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0808X | 8820342-1206 (UT) |
| Physician Assistant | 363A00000X | 8820342-1206 (UT) |
Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
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About NPI 1235551409
Derick W. Moody, PA's National Provider Identifier is 1235551409, issued on Jan 7, 2014. The primary taxonomy on file is Psychiatric/Mental Health Clinical Nurse Specialist (364SP0808X), and the practice location is in Springville, UT. The record was last updated on Sep 7, 2023.