Provider Demographics
NPI:1952733677
Name:MOYA, KATE (FNP-C)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:MOYA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1S280 SUMMIT AVE STE A1
Mailing Address - Street 2:
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3936
Mailing Address - Country:US
Mailing Address - Phone:630-889-9889
Mailing Address - Fax:308-899-8226
Practice Address - Street 1:3740 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-4727
Practice Address - Country:US
Practice Address - Phone:630-889-9889
Practice Address - Fax:630-889-9822
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL209010197363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily