Audriana Mooth, DO is a student in an organized health care education training program in Puyallup, WA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Audriana Mooth, DO NPI is 1255890638. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1322 3RD ST SE
SUITE 240
PUYALLUP, WA
ZIP 98372
Phone: (253) 697-1420
The NPI 1255890638 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/15/2019 and was last updated on 6/25/2021.