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Individual

JOSHUA MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PNP-AC

Contact information

Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
(804) 828-9000
Mailing address
10 IROQUOIS WAY, PALMYRA, VA 22963-3120
(276) 701-3164

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
0024180026
VA
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
0024180026
VA

Other

Enumeration date
04/19/2021
Last updated
04/19/2021
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