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Contact Information

PATRICIA A MOEN, M.S., ATC
10961 CLUBWEST PKWY NE
SUITE 200
BLAINE, MN55449
 Phone: 763-528-2992
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for PATRICIA A MOEN · (Female)

NPI # 1689638066
Status Active
Credentials M.S., ATC
Entity Individual
Enumeration date 04/13/2006
Last updated 12/02/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 096-001286
  • MN License # 2666
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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