Moore, Elethia
Moore, Elethia is an individual health care provider with primary practice located at 6801 Lucy Corr Ct , Chesterfield VA 23832-6657. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Moore, Elethia can be contacted via phone (804) 768-7318.Contact Information
Primary practice address
6801 Lucy Corr Ct
Chesterfield VA 23832-6657
Phone: (804) 768-7318
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 0024189825 | Virginia |
Profile Details
| NPI number | 1114402427 |
|---|---|
| LBN Legal business name | Moore, Elethia |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2018 |
| Last updated | May 3rd, 2024 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114402427 | NPPES |
| Virginia | MEDICAID | 1336293000 |
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