Moose, Corinne Keeton

Moose, Corinne Keeton is an individual health care provider with primary practice located at 326 S Line Ave , Inverness FL 34452-4606. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Moose, Corinne Keeton can be contacted via phone (352) 726-5533.

Contact Information

Primary practice address
326 S Line Ave Inverness FL 34452-4606
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN9332573 Florida

Profile Details

NPI number 1114379369
LBN Legal business name Moose, Corinne Keeton
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2016
Last updated Oct 23rd, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114379369 NPPES
Florida MEDICAID 018632500

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