Moody, Cresfield Winslow
Moody, Cresfield Winslow is an sole proprietor health care provider with primary practice located at 463 S. Lake Powell Blvd , Page AZ 86040-0790. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Moody, Cresfield Winslow can be contacted via phone (928) 645-0945.Contact Information
Primary practice address
463 S. Lake Powell Blvd
Page AZ 86040-0790
Phone: (928) 645-0945
Fax: (925) 645-3254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP2197 | Arizona |
Profile Details
| NPI number | 1962468678 |
|---|---|
| LBN Legal business name | Moody, Cresfield Winslow |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Aug 27th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962468678 | NPPES |
| Arizona | Other | AZ158651 | BCBS PROVIDER NUMBER |
| Arizona | Other | AZ07272 | BCBS PROVIDER NUMBER |
| Arizona | MEDICAID | 957152 | BCBS PROVIDER NUMBER |
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