Individual provider · Type 1 NPI

Laura Diane Moon

Certified Registered Nurse Anesthetist · Greenwood, SC

NPI number 1003066259 Active

Practice location

1325 Spring St
Greenwood, SC 29646-3860

Mailing address

110 Roane St
Charleston, WV 25302-2334

Other practice locations

  • 4605 Maccorkle Ave SW, South Charleston, WV 25309-1311 · (304) 766-3600

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X55025 (WV)
Certified Registered Nurse Anesthetist 367500000X79610 (WV)
Certified Registered Nurse Anesthetist Primary 367500000X26055 (SC)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1003066259

Laura Diane Moon's National Provider Identifier is 1003066259, issued on Sep 24, 2008. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Greenwood, SC. The record was last updated on Mar 15, 2024.