Individual provider · Type 1 NPI

Justin Moy, DNP, CRNP

Primary Care Nurse Practitioner · Columbia, MD

NPI number 1295563161 Active

Practice location

5900 Waterloo Rd Ste 200
Columbia, MD 21045-2641

Fax (410) 740-2955

Mailing address

7580 Buckingham Blvd Ste 220
Hanover, MD 21076-3210

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XR239415 (MD)
Primary Care Nurse Practitioner Primary 363LP2300XR239415 (MD)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1295563161

Justin Moy, DNP, CRNP's National Provider Identifier is 1295563161, issued on Jul 23, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Columbia, MD. The record was last updated on Sep 23, 2024.