Moore, Simona Lydia
Moore, Simona Lydia is an individual health care provider with primary practice located at 206 S Mulberry St , Mount Vernon OH 43050-3331. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moore, Simona Lydia can be contacted via phone (740) 399-3008.Contact Information
Primary practice address
206 S Mulberry St
Mount Vernon OH 43050-3331
Phone: (740) 399-3008
Fax: (740) 393-3009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN.232279-COA1 | Ohio |
Profile Details
| NPI number | 1679502181 |
|---|---|
| LBN Legal business name | Moore, Simona Lydia |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Feb 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679502181 | NPPES |
| Ohio | MEDICAID | 2271796 |
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