Individual
MS. CHARLENE MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
195 WADSWORTH RD., SUITE 402, WADSWORTH, OH 44281
(330) 331-7207
(330) 331-7587
Mailing address
195 WADSWORTH RD., SUITE 402, WADSWORTH, OH 44281
(330) 331-7207
(330) 331-7587
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP05255
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221456
—
OH
05
—
2221456
—
OH
Enumeration date
12/20/2005
Last updated
09/01/2011
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