Susan U Moore CFNP

NPI 1770593212 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1770593212
Gender Female
Enumeration Date 08/08/2006
Last Updated 10/07/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
1785 W LEE HWY
WYTHEVILLE VA, 24382-1437, US
Phone (276) 228-6499
Fax (276) 228-6665
Business Location
PO BOX 662
Phone (276) 228-6499
Fax (276) 228-6665
Taxonomy Code 363L00000X
License State Virginia
License Number 24166578
Remove 1770593212 NPI Number

According to our database, Susan U Moore CFNP NPI is 1770593212, taxonomy code is 363L00000X and license number is 24166578, license state is located at Virginia. Susan U Moore CFNP physically located at 1785 W Lee Hwy, Wytheville VA, 24382-1437. NPI Number Susan U Moore CFNP has the Individual type.

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1770593212 NPI number is provided on an as is basis without warranty of any kind. 1770593212 is maintained by the National Plan & Provider Enumeration System. The contents of Susan U Moore CFNP are for informational purposes only.