Individual
MARTA J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AC -PNP
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(703) 593-8126
Mailing address
1215 LEE STREET, PO BOX 800265, CHARLOTTESVILLE, VA 22908
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024178177
VA
363LP0200X
Pediatric Nurse Practitioner
0024178177
VA
Other
Enumeration date
09/02/2019
Last updated
10/20/2023
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