Provider Demographics
NPI:1174631873
Name:MOYLAN, ANNE MARIE (RN NP)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:MOYLAN
Suffix:
Gender:F
Credentials:RN NP
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Mailing Address - Street 1:3400 LOMITA BLVD #602
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505
Mailing Address - Country:US
Mailing Address - Phone:310-326-5150
Mailing Address - Fax:310-326-0762
Practice Address - Street 1:3400 LOMITA BLVD #602
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505
Practice Address - Country:US
Practice Address - Phone:310-326-5150
Practice Address - Fax:310-326-0762
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CARNP288982207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology