Moon, Cynthia J

Moon, Cynthia J is an individual health care provider with primary practice located at 4921 Parkview Pl Div Surg Oncology, Ste 5F, Saint Louis MO 63110-1032. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Moon, Cynthia J can be contacted via phone (314) 362-2280.

Contact Information

Primary practice address
4921 Parkview Pl Div Surg Oncology, Ste 5F Saint Louis MO 63110-1032
Phone: (314) 362-2280
Fax: (888) 352-8360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 90956 Missouri

Profile Details

NPI number 1932125168
LBN Legal business name Moon, Cynthia J
Credentials AHCNS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Nov 17th, 2021 - about 3 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 1932125168 NPPES
Missouri MEDICAID 427190301

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