Individual
THERESA E MOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3198
(570) 321-2810
(570) 321-2811
Mailing address
1201 GRAMPIAN BLVD, SUITE 1K, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN269878L
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
VP001426D
PA
Other
Enumeration date
05/14/2007
Last updated
06/04/2014
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