KANDISE MOONEYHAM
Nurse Practitioner - Family
Active
Individual
NPI: 1962181115
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 209028373 (IL) |
| Registered Nurse | 163W00000X | No | 041452140 (IL) |
Frequently Asked Questions
NPI 1962181115 is the National Provider Identifier for KANDISE MOONEYHAM, a Nurse Practitioner - Family provider located in Oswego, IL. This NPI was enumerated on July 14, 2023.
KANDISE MOONEYHAM practices at 80 TEMPLETON DR, Oswego, IL 60543.
Quick Facts
- NPI
- 1962181115
- Type
- Individual
- Enumerated
- Jul 14, 2023
- Last Updated
- Feb 8, 2024
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