MEDICARE: AUDRA MONROE MORAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372600000X	Adult Companion		CA

General Provider Information

NPI Number	:	1417890120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUDRA MONROE MORAN

Provider Business Mailing Address
First Line	:	560 COHASSET RD STE 100
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95926-2490
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6589 JACK HILL DR
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-3880
Country	:	US
Telephone Number	:	530-739-0502
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “ AUDRA MONROE MORAN ” Practice Location

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