Individual provider · Type 1 NPI

Kerigan Noelle Moomaw

Student in an Organized Health Care Education/Training Program · Bridgewater, VA

NPI number 1205796760 Active

Practice location

402 E College St
Bridgewater, VA 22812-1599

Call (540) 325-0745 Map

Mailing address

141 Beaver Ln
Mount Jackson, VA 22842-2815

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205796760

Kerigan Noelle Moomaw's National Provider Identifier is 1205796760, issued on Nov 17, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bridgewater, VA. The record was last updated on Nov 17, 2025.