Individual
MR. ZACHARY DAVID MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1 KENTON DR STE 200, CHARLESTON, WV 25311-1256
(304) 513-3495
Mailing address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
72998
WV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN72998
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72998
LICENSE
WV
Enumeration date
08/18/2013
Last updated
05/08/2025
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