NPI 1235551409

Derick W Moody, PA

Practitioner Psychiatric/Mental Health Clinical Nurse Specialist Springville, UT

Practice location

Address: 672 W 400 S STE 201, Springville, UT 84663-3170
Phone: (801) 369-8989
Fax: (801) 704-9741

Registered specialties (2)

Psychiatric/Mental Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0808X Licence 8820342-1206 (UT)

Other Clinical Nurse Specialist providers in Utah →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 8820342-1206 (UT)

Other Physician Assistant providers in Utah →

Registry record

NPI: 1235551409
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jan 2014
Record last updated: 7 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.