Denise Michelle Moltzan, RN, CDCES

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

257390 Issued in TX

Practice address

1304 Lady Amber LN
Granbury, TX 76049-8079

Phone

(214) 458-8050

Fax

(682) 205-1137

NPI assigned

Oct 21, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1316546229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 LADY AMBER LN",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760498079",
            "telephone_number": "214-458-8050",
            "fax_number": "682-205-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 LADY AMBER LN",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760498079",
            "telephone_number": "214-458-8050",
            "fax_number": "682-205-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLTZAN",
        "first_name": "DENISE",
        "middle_name": "MICHELLE",
        "credential": "RN, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "TX",
            "license": "257390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diabetes Educator Registered Nurse in Granbury, TX
• Providers in Granbury, TX by specialty
• Diabetes Educator Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.