Individual
EMILY MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
145 KIMEL PARK DR, SUITE 120, WINSTON SALEM, NC 27103
(336) 768-3212
(336) 768-9019
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
273312
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0995314-CRNA
CO
Other
Enumeration date
08/03/2017
Last updated
05/15/2023
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