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NPI Code Detail

MEDICARE: SANDRA MOJESKY

MEDICARE: SANDRA MOJESKY
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
1163WA0400XAddiction (Substance Use Disorder) Registered Nurse1060988KY

General Provider Information

NPI Number : 1073983409
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA MOJESKY
Provider Business Mailing Address
First Line : 323 GODBEY LN
Second Line :
City : DANVILLE
State : KY
Zip : 40422-9763
Country : US
Telephone Number : 859-516-1769
Fax Number :
Provider Business Practice Location Address
First Line : 106 BELINDA BLVD
Second Line :
City : DANVILLE
State : KY
Zip : 40422-3217
Country : US
Telephone Number : 859-209-2420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2015
Last Update Date : 09/28/2015

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Directions to “ SANDRA MOJESKY ” Practice Location

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