Individual
MRS. ERIN ALYCIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C., MSPAS
Contact information
Practice address
800 N JUSTICE ST, HENDERSONVILLE, NC 28791-3410
(828) 694-4548
(828) 694-4547
Mailing address
20 MEDICAL PARK DR, ASHEVILLE, NC 28803-2493
(828) 253-7077
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-04573
NC
363AM0700X
Medical Physician Assistant
Primary
0010-04573
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCW544A
MEDICARE PTAN
NC
01
—
P01817146
RR MEDICARE
NC
Enumeration date
11/19/2013
Last updated
04/07/2021
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