Moon, Eric Tyson

Moon, Eric Tyson is an individual health care provider with primary practice located at 1805 27Th St , Portsmouth OH 45662-2640. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Moon, Eric Tyson can be contacted via phone (740) 356-8034.

Contact Information

Primary practice address
1805 27Th St Portsmouth OH 45662-2640
Phone: (740) 356-8034
Fax: (740) 353-7900
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN593747 Pennsylvania
Nursing Service Providers / Registered Nurse 163W00000X RN.312401 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9266653 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 101896 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN593747 Pennsylvania

Profile Details

NPI number 1669891974
LBN Legal business name Moon, Eric Tyson
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2014
Last updated Jun 22nd, 2018 - about 6 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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