Individual
LONNA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2300 US ROUTE 60, ONA, WV 25545-9712
(304) 743-7495
(304) 743-6600
Mailing address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
78371
WV
363LF0000X
Family Nurse Practitioner
3007615
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810026823
—
WV
05
—
7100345510
—
KY
Enumeration date
08/31/2012
Last updated
11/13/2020
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