Individual
NATHANIEL MOYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
7001 FOREST AVE STE 200, RICHMOND, VA 23230-1726
(434) 738-8174
Mailing address
7001 FOREST AVE STE 200, RICHMOND, VA 23230-1726
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2024030897
VA
363LG0600X
Gerontology Nurse Practitioner
2024030897
VA
Other
Enumeration date
08/10/2024
Last updated
08/10/2024
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