Individual
ASHLEY DEAN MOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1080 FIRST COLONIAL RD, STE 300, VIRGINIA BEACH, VA 23454-2406
(757) 481-7222
(757) 390-2935
Mailing address
1080 FIRST COLONIAL RD, STE 300, VIRGINIA BEACH, VA 23454-2406
(757) 481-7222
(757) 390-2935
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0024172447
VA
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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