Hanley-Nieman, Moira

Hanley-Nieman, Moira is an individual health care provider with primary practice located at 211 Gibson Street, Nw, Suite 215 , Leesburg VA 20176-2115. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hanley-Nieman, Moira can be contacted via phone (571) 707-2085.

Contact Information

Primary practice address
211 Gibson Street, Nw, Suite 215 Leesburg VA 20176-2115
Phone: (571) 707-2085
Fax: (571) 291-9196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110003807 Virginia

Profile Details

NPI number 1629100185
LBN Legal business name Hanley-Nieman, Moira
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2007
Last updated Mar 6th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629100185 NPPES
Virginia MEDICAID 1629100185
Virginia MEDICAID 30015872740001

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