Moose, Wendy B
Moose, Wendy B is an individual health care provider with primary practice located at 90 Southside Ave Suite 350, Asheville NC 28801-4160. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Moose, Wendy B can be contacted via phone (828) 277-4810.Contact Information
Primary practice address
90 Southside Ave Suite 350
Asheville NC 28801-4160
Phone: (828) 277-4810
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 5007149 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 5007149 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 5007149 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5007149 | North Carolina |
Profile Details
| NPI number | 1386044501 |
|---|---|
| LBN Legal business name | Moose, Wendy B |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2014 |
| Last updated | Dec 8th, 2016 - about 8 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 | 1386044501 | NPPES |
| North Carolina | MEDICAID | 1386044501 | |
| North Carolina | Other | 1897C |
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