Moore, Patricia
Moore, Patricia is an individual health care provider with primary practice located at 1101 Sam Perry Blvd Ste 307 , Fredericksburg VA 22401-4466. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Hospice, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Moore, Patricia can be contacted via phone (540) 374-3277.Contact Information
Primary practice address
1101 Sam Perry Blvd Ste 307
Fredericksburg VA 22401-4466
Phone: (540) 374-3277
Fax: (540) 374-3280
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Hospice | 163WH1000X | 0001137010 | Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 0024174222 | Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 0024174222 | Virginia |
Profile Details
NPI number | 1336699800 |
---|---|
LBN Legal business name | Moore, Patricia |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 9th, 2016 |
Last updated | Jul 21st, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336699800 | NPPES |
Virginia | MEDICAID | 1336699800 |
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