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Evelyn Denise Moffett, APRN
Nurse Practitioner in Melbourne, Florida
NPI 1770012379

Evelyn Denise Moffett is a Nurse Practitioner based in Rockledge, FL. Evelyn Denise Moffett practices in Melbourne, FL and has the professional credentials of APRN. The NPI Number for Evelyn Denise Moffett is 1770012379 and holds a License No. RN9332088 (Florida).

The current practice location address for Evelyn Denise Moffett is 1350 Hickory St Ste 102, Melbourne, FL and can be reached out via phone at 321-434-3455 and via fax at 321-434-3456.

Location: 1350 Hickory St Ste 102, Melbourne, FL, 32955-4306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770012379
Provider Name
Evelyn Denise Moffett
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1350 Hickory St Ste 102, Melbourne, FL, 32955-4306
Phone Number
321-434-3455
Fax Number
321-434-3456
Provider Enumeration Date
06/07/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
JA626Z 01 FL FL MEDICARE
P02169610 01 FL FL RR MEDICARE
021420000 05 FL
institution
Provider Business Practice Location Address Details
Address
1350 Hickory St Ste 102
City
Melbourne
State
Florida
Zip
32901-3224
Phone Number
321-434-3455
Fax Number
321-434-3456
person
Provider Business Mailing Address Details
Address
1350 Hickory St Ste 102
City
Melbourne
State
Florida
Zip
32901-3224
Phone Number
321-434-3455
Fax Number
321-434-3456
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
163WC0200X
License No.
ARNP9332088 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN9332088 (Florida)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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