Individual
LEAH RENEE MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
701 BLAND ST, BLUEFIELD, WV 24701-3503
(304) 800-5413
(304) 760-5779
Mailing address
701 BLAND ST, BLUEFIELD, WV 24701-3503
(304) 800-5413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
120170
WV
Other
Enumeration date
07/01/2024
Last updated
01/30/2025
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