Mcmoon, Michelle Marcella

Mcmoon, Michelle Marcella is an individual health care provider with primary practice located at 3024 New Bern Ave , Raleigh NC 27610-1247. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Mcmoon, Michelle Marcella can be contacted via phone (919) 350-7331.

Contact Information

Primary practice address
3024 New Bern Ave Raleigh NC 27610-1247
Phone: (919) 350-7331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-06532 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0010-06532 North Carolina

Profile Details

NPI number 1568439909
LBN Legal business name Mcmoon, Michelle Marcella
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Sep 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568439909 NPPES
North Carolina MEDICAID 1568439909

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