Moon, Athena

Moon, Athena is an individual health care provider with primary practice located at 3001 W University Blvd , Odessa TX 79764-7129. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moon, Athena can be contacted via phone (432) 580-5966.

Contact Information

Primary practice address
3001 W University Blvd Odessa TX 79764-7129
Phone: (432) 580-5966
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP131550 Texas

Profile Details

NPI number 1528511169
LBN Legal business name Moon, Athena
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2016
Last updated Aug 1st, 2016 - about 10 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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