Provider Demographics
NPI:1609864735
Name:MOULIN, ARDEN RENEE (RNC,WHCNP)
Entity Type:Individual
Prefix:MS
First Name:ARDEN
Middle Name:RENEE
Last Name:MOULIN
Suffix:
Gender:F
Credentials:RNC,WHCNP
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1034 COLONY ST
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-2517
Mailing Address - Country:US
Mailing Address - Phone:817-416-2229
Mailing Address - Fax:817-416-3667
Practice Address - Street 1:1625 LANCASTER DR
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3545
Practice Address - Country:US
Practice Address - Phone:814-416-2229
Practice Address - Fax:817-416-3667
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-12
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX540005363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health