Individual
CARSON WALTER MOOCK
Active
Individual
CARSON WALTER MOOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001299817
VA
363LF0000X
Family Nurse Practitioner
Primary
0024198369
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
03/12/2026
Last updated
08/19/2026
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