Most Relevant Information
Provider Data
| NPI Number: | 1003022104 |
| Provider Name: | DOROTHEA MARIE MOXLEY LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 113195 |
Most Important Dates
| Enumeration Date: | 05/15/2007 |
| Last Updated: | 05/18/2016 |
Provider Practice Location
39 N OTTERBEIN AVE
WESTERVILLE
OH
43081
Practice Location Phone/Fax
| Phone: | 6146743816 |
| Fax: |
Provider Mailing Location
39 N OTTERBEIN AVE
WESTERVILLE
OH
430811707
Provider Mailing Phone/Fax
| Phone: | 6146743816 |
| Fax: |