Individual
AMANDA P MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6275 E VIRGINIA BEACH BLVD STE 303, NORFOLK, VA 23502-2851
(757) 461-3141
(757) 461-1658
Mailing address
6275 E VIRGINIA BEACH BLVD STE 303, NORFOLK, VA 23502-2851
(757) 461-3141
(757) 461-1658
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0102205507
VA
Other
Enumeration date
05/10/2017
Last updated
04/11/2023
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