Individual
MRS. MONICA CORNWALL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8200 MEADOWBRIDGE RD, MECHANICSVILLE, VA 23116-2337
(804) 442-3750
Mailing address
8239 N MAYFIELD LN, MECHANICSVILLE, VA 23111-2203
(804) 513-6012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024176475
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225263940
—
VA
Enumeration date
08/16/2018
Last updated
08/16/2018
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