Moody, Natalie

Moody, Natalie is an individual health care provider with primary practice located at 1201 1St St S , Winter Haven FL 33880-3904. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Moody, Natalie can be contacted via phone (863) 294-7062.

Contact Information

Primary practice address
1201 1St St S Winter Haven FL 33880-3904
Phone: (863) 294-7062
Fax: (863) 294-7064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R870310 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11019362 Florida

Profile Details

NPI number 1740563543
LBN Legal business name Moody, Natalie
Credentials FPMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2011
Last updated Aug 19th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740563543 NPPES
Mississippi MEDICAID 04939509

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