Provider Demographics
NPI:1841891637
Name:MORAY, CECILEE MARIE (RN)
Entity type:Individual
Prefix:
First Name:CECILEE
Middle Name:MARIE
Last Name:MORAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2086 HIGH COUNTRY BLVD
Mailing Address - Street 2:
Mailing Address - City:KAMLOOPS
Mailing Address - State:BC
Mailing Address - Zip Code:V2E1L3
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3111 COLUMBIA ST.
Practice Address - Street 2:
Practice Address - City:KAMLOOPS
Practice Address - State:BC
Practice Address - Zip Code:V2E1L3
Practice Address - Country:CA
Practice Address - Phone:250-374-5111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4081029-3102163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse