Individual provider · Type 1 NPI
Theresa E. Moff, CRNP
Pediatric Nurse Practitioner · Williamsport, PA
NPI number
1457566176
Active
Practice location
700 High St
Williamsport, PA 17701-3198
Fax (570) 321-2811
Mailing address
1201 Grampian Blvd, Suite 1K
Williamsport, PA 17701-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN269878L (PA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | VP001426D (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1457566176
Theresa E. Moff, CRNP's National Provider Identifier is 1457566176, issued on May 14, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Williamsport, PA. The record was last updated on Jun 4, 2014.