Moore, Connie Jean

Moore, Connie Jean is an individual health care provider with primary practice located at 9501 Farrell Rd , Fort Belvoir VA 22060-5901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Moore, Connie Jean can be contacted via phone (703) 805-0004.

Contact Information

Primary practice address
9501 Farrell Rd Fort Belvoir VA 22060-5901
Phone: (703) 805-0004
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024165968 Virginia

Profile Details

NPI number 1114907771
LBN Legal business name Moore, Connie Jean
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 8th, 2007 - about 17 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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