Moon, Heather Nancy

Moon, Heather Nancy is an individual health care provider with primary practice located at 35671 Kenai Spur Hwy , Soldotna AK 99669. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Moon, Heather Nancy can be contacted via phone (907) 260-1655.

Contact Information

Primary practice address
35671 Kenai Spur Hwy Soldotna AK 99669
Phone: (907) 260-1655
Fax: (855) 854-8577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 200972 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 200972 Alaska

Profile Details

NPI number 1205547205
LBN Legal business name Moon, Heather Nancy
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2022
Last updated Nov 27th, 2023 - 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 1205547205 NPPES
Alaska MEDICAID 1735468
Alaska Other 200972
Alaska Other NURR32396

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