Moon, Amy

Moon, Amy is an individual health care provider with primary practice located at 237 N Fayetteville St Ste D , Asheboro NC 27203-5573. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Moon, Amy can be contacted via phone (336) 625-2961.

Contact Information

Primary practice address
237 N Fayetteville St Ste D Asheboro NC 27203-5573
Fax: (336) 625-6573
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 600124 North Carolina

Profile Details

NPI number 1043305121
LBN Legal business name Moon, Amy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Dec 1st, 2016 - about 8 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 1043305121 NPPES
North Carolina MEDICAID 7005252

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