Individual
DANIEL L MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
311 N 4TH ST, SUITE 101, OAKLAND, MD 21550-1371
(301) 334-8171
(301) 334-1819
Mailing address
311 N 4TH ST, SUITE 101, OAKLAND, MD 21550-1371
(301) 334-8171
(301) 334-1819
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R114948
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334403700
—
MD
05
—
3810017953
—
WV
Enumeration date
07/22/2009
Last updated
09/05/2012
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