Individual provider · Type 1 NPI
Carson Walter Moock, FNP
Family Nurse Practitioner · Roanoke, VA
NPI number
1467309252
Active
Practice location
6104 Roselawn Rd
Roanoke, VA 24018-7608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | 0024198369 (VA) |
| Registered Nurse | 163W00000X | 0001299817 (VA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1467309252
Carson Walter Moock, FNP's National Provider Identifier is 1467309252, issued on Mar 12, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roanoke, VA. The record was last updated on Aug 19, 2026.