MR. GARETT ROGER MOON FNP NPI 1710571203

NPI Information

NPI: 1710571203
Provider Name: MR. GARETT ROGER MOON, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
560 N CAMINO MERCADO STE 7
CASA GRANDE, AZ
ZIP 85122
Phone: (520) 836-5538
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MR. Garett Roger Moon, FNP is a family nurse practitioner in Casa Grande, AZ. MR. Garett Roger Moon, FNP NPI is 1710571203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

560 N CAMINO MERCADO STE 7
CASA GRANDE, AZ
ZIP 85122-759
Phone: (520) 836-5538
Fax: (844) 772-0049

The enumeration date for this NPI number is 2/24/2021 and was last updated on 2/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WE0003X	Registered Nurse	Emergency	RN151283	ARIZONA	No
2	363LF0000X	Nurse Practitioner	Family	263317	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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