Individual
MATTHEW W MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4260
Mailing address
50 SCHENCK PKWY, ASHEVILLE, NC 28803-3499
(828) 681-1527
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
219531
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437408671
—
WA
Enumeration date
09/04/2012
Last updated
01/06/2017
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