Individual provider · Type 1 NPI

Elethia M. Moore, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Charlottesville, VA

NPI number 1114402427 Active

Practice location

310 Old Ivy Way
Charlottesville, VA 22903-4896

Mailing address

PO Box 749112
Atlanta, GA 30374-9112

Other practice locations

  • 1215 Lee St, Charlottesville, VA 22908-0816 · (434) 924-2231
  • 6801 Lucy Corr Ct, Chesterfield, VA 23832-6657 · (804) 768-7318

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0024189825 (VA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1114402427

Elethia M. Moore, PMHNP's National Provider Identifier is 1114402427, issued on Oct 2, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Charlottesville, VA. The record was last updated on Aug 19, 2026.