Individual
TAMMY LYNN MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2425 GARDEN WAY STE 102, HERMITAGE, PA 16148-5215
(724) 981-1777
(724) 342-2879
Mailing address
100 FAIRFIELD DR, SENECA, PA 16346-2130
(814) 676-7863
(814) 676-7975
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP023913
PA
Other
Enumeration date
11/16/2021
Last updated
10/02/2025
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