Moberley, Courtney F
Moberley, Courtney F is an individual health care provider with primary practice located at 900 Johnson St Ste A , Tallulah LA 71282-4537. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moberley, Courtney F can be contacted via phone (318) 574-5080.Contact Information
Primary practice address
900 Johnson St Ste A
Tallulah LA 71282-4537
Phone: (318) 574-5080
Fax: (318) 574-5052
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP04825 | Louisiana |
Profile Details
| NPI number | 1164406567 |
|---|---|
| LBN Legal business name | Moberley, Courtney F |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Apr 18th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164406567 | NPPES |
| Louisiana | MEDICAID | 1722227 |
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