Moore, Patricia

Moore, Patricia is an individual health care provider with primary practice located at 1101 Sam Perry Blvd Ste 307 , Fredericksburg VA 22401-4466. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Hospice, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Moore, Patricia can be contacted via phone (540) 374-3277.

Contact Information

Primary practice address
1101 Sam Perry Blvd Ste 307 Fredericksburg VA 22401-4466
Phone: (540) 374-3277
Fax: (540) 374-3280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Hospice 163WH1000X 0001137010 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024174222 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 0024174222 Virginia

Profile Details

NPI number 1336699800
LBN Legal business name Moore, Patricia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2016
Last updated Jul 21st, 2022 - about 4 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 1336699800 NPPES
Virginia MEDICAID 1336699800

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