Moore, Virginia Gail

Moore, Virginia Gail is an individual health care provider with primary practice located at 10549 115Th Ave , Largo FL 33773-2415. 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, Virginia Gail can be contacted via phone (941) 204-3579.

Contact Information

Primary practice address
10549 115Th Ave Largo FL 33773-2415
Phone: (941) 204-3579
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP60895080 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP 9275839 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 202002782NP-PP Oregon

Profile Details

NPI number 1164528816
LBN Legal business name Moore, Virginia Gail
Credentials PHD, APRN, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Dec 14th, 2023 - about last year

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 1164528816 NPPES
Florida MEDICAID 000487000

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