Individual
JO ANNA MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
343 STUDENT HEALTH CENTER, UNIVERSITY PARK, PA 16802
(814) 863-9717
(814) 863-8464
Mailing address
343 STUDENT HEALTH CENTER, UNIVERSITY PARK, PA 16802
(814) 863-9717
(814) 863-8464
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-206141-L
PA
363L00000X
Nurse Practitioner
Primary
TP-001042-G
PA
Other
Enumeration date
03/28/2007
Last updated
07/15/2008
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