Holly Lynn Moen, CNM is a
Advanced Practice Midwife based in Winters, California. Holly Lynn Moen is licensed to practice in California (license number 933) and her current practice location is
23 Main St, Winters, California. She can be reached at her office (for appointments etc.) via phone at
(530) 212-1028.
NPI number for Holly Lynn Moen is 1306994769 and her current mailing address is 2301 Bryce Ln, Davis, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306994769.
Provider's Profile
Full Name | Holly Lynn Moen |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 23 Main St, Winters, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306994769
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 03/07/2013
Medical Identifiers
Medical identifiers for Holly Lynn Moen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306994769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WX0002X | Registered Nurse - Obstetric, High-risk | 285953 (California) | Secondary |
367A00000X | Advanced Practice Midwife | 933 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holly Lynn Moen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Holly Lynn Moen, CNM 2301 Bryce Ln, Davis, CA 95616-6608 Ph: (530) 758-3459 | Holly Lynn Moen, CNM 23 Main St, Winters, CA 95694-1722 Ph: (530) 212-1028 |
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