Kandise Rose Marie Mooneyham
NPI #1962181115 in Oswego, Illinois
Provider Information
- NPI Number
- 1962181115
- Entity Type
- Individual
- Name
- Kandise Rose Marie Mooneyham
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jul 14, 2023
- Last Updated
- Feb 8, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Registered Nurse |
Additional Practice Locations
2365 Monarchos Ln
Montgomery, IL, 60538-3439
(815) 575-5943
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