Individual
LINDA DAVIS-MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1020 SANSOM ST., 239 THOMPSON BLDG., PHILADELPHIA, PA 19107
(215) 955-6844
(215) 923-6225
Mailing address
1020 SANSOM ST., 239 THOMPSON BLDG., PHILADELPHIA, PA 19107
(215) 955-6844
(215) 923-6225
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP004940B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP004940B
CRNP LICENSE
PA
Enumeration date
06/29/2007
Last updated
03/07/2023
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