Moore, Simona Lydia

Moore, Simona Lydia is an individual health care provider with primary practice located at 206 S Mulberry St , Mount Vernon OH 43050-3331. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moore, Simona Lydia can be contacted via phone (740) 399-3008.

Contact Information

Primary practice address
206 S Mulberry St Mount Vernon OH 43050-3331
Phone: (740) 399-3008
Fax: (740) 393-3009
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN.232279-COA1 Ohio

Profile Details

NPI number 1679502181
LBN Legal business name Moore, Simona Lydia
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Feb 14th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679502181 NPPES
Ohio MEDICAID 2271796

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