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Individual

DANA HARRISON MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
140 E FERRELL ST, SOUTH HILL, VA 23970-2102
(434) 584-5400
(434) 584-5425
Mailing address
140 E FERRELL ST, SOUTH HILL, VA 23970-2102
(434) 584-5400
(434) 584-5425

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001225093
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024185922
VA

Other

Enumeration date
02/03/2016
Last updated
09/25/2024
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