Provider Demographics
NPI:1831984103
Name:MOXIHEALTH PLLC
Entity type:Organization
Organization Name:MOXIHEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:DAHLE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:319-290-3748
Mailing Address - Street 1:2783 MORNING STAR CT
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-8938
Mailing Address - Country:US
Mailing Address - Phone:319-290-3748
Mailing Address - Fax:
Practice Address - Street 1:1520 6TH ST SW
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-4820
Practice Address - Country:US
Practice Address - Phone:319-290-3748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care