Individual
ANASTASIA MEIXNER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
411 FORTUYN RD, GRAND COULEE, WA 99133-8718
(509) 633-6326
Mailing address
220 CAMPUS BLVD STE 210, WINCHESTER, VA 22601-2889
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024178054
VA
363LF0000X
Family Nurse Practitioner
Primary
AP61634868
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024178054
LICENSE
VA
01
—
AP61634868
LICENSE
WA
Enumeration date
01/10/2014
Last updated
06/09/2025
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