Lookup NPI Numbers from the NPI Registry
NPI Profile for FALLON MOODY in ROSWELL, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1740070358 |
|
| Status | Active | |
| Credentials | FNP (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 05/07/2025 | |
| Last updated | 05/07/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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FALLON MOODY
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FALLON MOODY, FNP