Individual
MRS. AMY VISCHETTI MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001004681
NC
363AM0700X
Medical Physician Assistant
0010-04681
NC
Other
Enumeration date
12/19/2013
Last updated
10/16/2025
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