Individual provider · Type 1 NPI

Tammy Lynn Moon, CRNP

Nurse Practitioner · Hermitage, PA

NPI number 1386300150 Active

Practice location

2425 Garden Way Ste 102
Hermitage, PA 16148-5215

Fax (724) 342-2879

Mailing address

100 Fairfield Dr
Seneca, PA 16346-2130

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP023913 (PA)

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 1386300150

Tammy Lynn Moon, CRNP's National Provider Identifier is 1386300150, issued on Nov 16, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hermitage, PA. The record was last updated on Oct 2, 2025.