Individual provider · Type 1 NPI

Laurent Aiesha Moe, CRNA

Certified Registered Nurse Anesthetist · Philadelphia, PA

NPI number 1043749773 Active

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Call (215) 707-3326 Map

Fax (215) 707-8028

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000XRN623066 (PA)
Certified Registered Nurse Anesthetist 367500000X117157 (NC)

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 1043749773

Laurent Aiesha Moe, CRNA's National Provider Identifier is 1043749773, issued on Jun 6, 2017. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 24, 2026.