Moraghan, Kathleen M
Moraghan, Kathleen M is an individual health care provider with primary practice located at 1720 University Dr S , Fargo ND 58103-4940. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Moraghan, Kathleen M can be contacted via phone (701) 234-4171.Contact Information
Primary practice address
1720 University Dr S
Fargo ND 58103-4940
Phone: (701) 234-4171
Fax: (701) 461-5649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | R21662 | North Dakota |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | R21662 | North Dakota |
Profile Details
| NPI number | 1659398196 |
|---|---|
| LBN Legal business name | Moraghan, Kathleen M |
| Credentials | Clinical Nurse Specialist (CNS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Feb 1st, 2013 - about 13 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 | 1659398196 | NPPES |
| Minnesota | MEDICAID | 285471600 | |
| Minnesota | MEDICAID | 70022 |
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