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Mallory Moebs
Family Nurse Practitioner in Gasport, New York
NPI 1376320390

Mallory Moebs is a Family Nurse Practitioner based in Gasport, NY and is specialized in Family. Mallory Moebs practices in Gasport, NY. The NPI Number for Mallory Moebs is 1376320390 and holds a License No. 352794 (New York).

The current practice location address for Mallory Moebs is 8276 Mill Rd, Gasport, NY and can be reached out via phone at 716-417-6564.

Location: 8276 Mill Rd, Gasport, NY, 14067-9274
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376320390
Provider Name
Mallory Moebs
Credential
Provider Entity Type
Individual
Gender
Female
Address
8276 Mill Rd, Gasport, NY, 14067-9274
Phone Number
716-417-6564
Fax Number
Provider Enumeration Date
09/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8276 Mill Rd
City
Gasport
State
New York
Zip
14067-9274
Phone Number
716-417-6564
Fax Number
person
Provider Business Mailing Address Details
Address
8276 Mill Rd
City
Gasport
State
New York
Zip
14067-9274
Phone Number
716-417-6564
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
352794 (New York)
Definition
Definition to come...
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