Individual
MRS. ELIZABETH MARIE MOYNIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-3783
Mailing address
12111 WAYLAND ST, OAKTON, VA 22124-2235
(610) 453-9191
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN1026978
DC
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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