Moon, Amy
Moon, Amy is an individual health care provider with primary practice located at 237 N Fayetteville St Ste D , Asheboro NC 27203-5573. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Moon, Amy can be contacted via phone (336) 625-2961.Contact Information
Primary practice address
237 N Fayetteville St Ste D
Asheboro NC 27203-5573
Phone: (336) 625-2961
Fax: (336) 625-6573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 600124 | North Carolina |
Profile Details
| NPI number | 1043305121 |
|---|---|
| LBN Legal business name | Moon, Amy |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Dec 1st, 2016 - about 10 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 | 1043305121 | NPPES |
| North Carolina | MEDICAID | 7005252 |
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