Healthcare Provider Details

I. General information

NPI: 1598778599
Provider Name (Legal Business Name): DAN PHILIP MOYES N.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 11/30/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 COLUMBUS ST SUITE 1200
BAKERSFIELD CA
93305-1936
US

IV. Provider business mailing address

PO BOX 6578
BAKERSFIELD CA
93386-6578
US

V. Phone/Fax

Practice location:
  • Phone: 661-326-5000
  • Fax: 661-326-5005
Mailing address:
  • Phone: 661-326-2263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number200137
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: