Individual
NATALYA E MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 ACADEMY AVE, PORTSMOUTH, VA 23703-3103
(757) 550-8080
Mailing address
3701 ACADEMY AVE, PORTSMOUTH, VA 23703-3103
(757) 550-8080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001299507
VA
251S00000X
Community/Behavioral Health Agency
—
VA
Other
Enumeration date
01/08/2024
Last updated
04/30/2026
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