Individual provider · Type 1 NPI
Lisa Moon, RN
Case Management Registered Nurse · Apple Valley, MN
NPI number
1821440165
Active
Practice location
13723 Findlay Ave
Apple Valley, MN 55124-8070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | R-173422-7 (MN) |
| Case Management Registered Nurse | 163WC0400X | 4704169177 (MI) |
Case Management Registered Nurse: Definition to come...
About NPI 1821440165
Lisa Moon, RN's National Provider Identifier is 1821440165, issued on Jul 11, 2016. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Apple Valley, MN. The record was last updated on Jul 11, 2016.