Provider Demographics
NPI:1760418529
Name:MOYES, MEREDITH L (MSN, FNP)
Entity Type:Individual
Prefix:MS
First Name:MEREDITH
Middle Name:L
Last Name:MOYES
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1932 LAVA FLOW DR
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-5106
Mailing Address - Country:US
Mailing Address - Phone:435-656-4765
Mailing Address - Fax:
Practice Address - Street 1:1067 E. TABERNACLE
Practice Address - Street 2:SUITE 7 ST. GEORGE OUTPATIENT VA CLINIC
Practice Address - City:ST. GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770
Practice Address - Country:US
Practice Address - Phone:435-634-7608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3259994405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily