Individual provider · Type 1 NPI
Mallory A. Moebs, NP
Family Nurse Practitioner · Orchard Park, NY
NPI number
1376320390
Active
Practice location
3401 Orchard Park Rd Ste C
Orchard Park, NY 14067-9274
Fax (716) 674-0666
Mailing address
8276 Mill Rd
Gasport, NY 14067-9274
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 352794 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1376320390
Mallory A. Moebs, NP's National Provider Identifier is 1376320390, issued on Sep 12, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Orchard Park, NY. The record was last updated on Apr 25, 2024.