Individual
SARA ASHLEY MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1606 KANAWHA BLVD W, CHARLESTON, WV 25387-2536
(304) 768-8523
Mailing address
1393 HAWVER RD, HICO, WV 25854-7365
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F0914132
WV
363LF0000X
Family Nurse Practitioner
Primary
74101
WV
Other
Enumeration date
09/05/2014
Last updated
03/28/2019
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