MRS. HOLLIE DEBRA MOFFETT (NPI# 1598176133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598176133 |
| Entity Type | Individual |
| Full Name | MRS. HOLLIE DEBRA MOFFETT |
| Credential | ARNP |
| Practice Address |
11327 Okeechobee Blvd Ste 2&3 Royal Palm Beach FL 33411-8724 |
| Practice Telephone | 5613401615 |
| Mailing Telephone | 5613401615 |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2019-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WS0200X |
Registered Nurse Specialization: School |
R39919 | NM | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9470855 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CAQH ID NUMBER | 14386497 | 01 |
| FL | ARNP MEDICAL LICENSE | ARNP9470855 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6400 Uptown Blvd Ne, Ste 360w, Albuquerque, NM 871104204 | 5058559805 | 5058489468 |
| 7097 Catalina Isle Dr, Lake Worth, FL 334677738 | 5616519338 |
| Street Address |
11327 OKEECHOBEE BLVD STE 2&3 |
| City | ROYAL PALM BEACH |
| State | FL |
| Zip Code | 33411-8724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343129 | Ashley Nicole Zarmanian | Counselor | 1779 Palisades Drive, West Palm Beach, FL 33411 | 2020-07-07 |
| 1487110995 | Everglades College Inc | Chiropractor | 2085 Vista Parkway, West Palm Beach, FL 33411 | 2019-02-20 |
| 1538625652 | Amanda Marie Tropea | Behavior Technician | 2054 Vista Park Way Suite #400, West Palm Beach, FL 33411 | 2019-02-13 |
| 1528554516 | Michael Ryan Moraguez | Dentist | 11358 Okeechobee Blvd Ste 1, Royal Palm Beach, FL 33411 | 2018-07-02 |
| 1184124505 | Abd Medical Surgical & Home Care Equipments, Inc | Durable Medical Equipment & Medical Supplies | 10349 Southern Blvd, Royal Palm Beach, FL 33411 | 2018-02-13 |
| 1336668987 | Belinda Brooks-josephs | Registered Nurse | 11407 Blue Violet Lane, Royal Palm Beach, FL 33411 | 2017-09-14 |
| 1699293183 | Lisa Camille Watson | Psychologist | 7750 Okeechobee Boulevard, Suite 4-9-19, West Palm Beach, FL 33411 | 2017-09-05 |
| 1174044515 | Sherisa Harris | Licensed Practical Nurse | 260 Crestwood Circle, Unit 104, Royal Palm Beach, FL 33411 | 2017-07-06 |
| 1134659758 | Gerry B Alondra | Behavior Technician | 103 Banyan Lane, West Palm Beach, FL 33411 | 2017-06-15 |
| 1356871313 | Maylin Ojeda | Behavior Technician | 13397 55th Rd N, West Palm Beach, FL 33411 | 2017-06-13 |
| Find all providers in zip 33411 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610971 | Marie Mylene Etienne | Nurse Practitioner | 2006 Reston Cir, Royal Palm Beach, FL 33411-6110 | 2020-08-20 |
| 1821614819 | Adriana Rodriguez | Nurse Practitioner | 2812 Bellarosa Cir, Royal Palm Beach, FL 33411-1461 | 2020-06-25 |
| 1881228518 | Sabrina Felicia Green | Nurse Practitioner | 1532 Running Oak Ln, Royal Palm Beach, FL 33411-6154 | 2020-03-03 |
| 1700435583 | Vivianne Andrea Milovan | Nurse Practitioner | 628 Garden Cress Trl, Royal Palm Beach, FL 33411-4229 | 2019-09-05 |
| 1295383495 | Jessica Victoria Franqui | Nurse Practitioner | 175 Bilbao St, Royal Palm Beach, FL 33411-1310 | 2019-08-30 |
| 1649836693 | Carly Peon Hintz | Nurse Practitioner | 216 Seminole Lakes Dr, Royal Palm Beach, FL 33411-4207 | 2019-05-15 |
| 1215593397 | Nyoka Clemetson Blake | Nurse Practitioner | 106 Mayorca Ct, Royal Palm Beach, FL 33411-1101 | 2019-05-14 |
| 1396219671 | Bidwell Joseph Cranage | Nurse Practitioner | 13705 48th Ct N, Royal Palm Beach, FL 33411-8138 | 2019-01-19 |
| 1184104879 | Marie Evelyne Buissereth | Nurse Practitioner | 1138 Oakwater Dr, Royal Palm Beach, FL 33411-6104 | 2018-08-21 |
| 1063999738 | Latoya Gauntlett-freeman | Nurse Practitioner | 106 Sarona Cir, Royal Palm Beach, FL 33411-4320 | 2018-07-25 |
| Find all providers in ROYAL PALM BEACH | ||||
| City | ROYAL PALM BEACH |
| Zip Code | 33411 |
Please comment or provide details below to improve the information on MRS. HOLLIE DEBRA MOFFETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.