Individual provider · Type 1 NPI

Tim I. Moomaw, NP

Nurse Practitioner · Gallipolis, OH

NPI number 1386035954 Active

Practice location

100 Jackson Pike
Gallipolis, OH 45631-1560

Mailing address

75 Remit Dr, #1367
Chicago, IL 60675-1367

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XCOA.17111-NP (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1386035954

Tim I. Moomaw, NP's National Provider Identifier is 1386035954, issued on Feb 18, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gallipolis, OH. The record was last updated on Feb 18, 2015.