Individual provider · Type 1 NPI

Susan Kaye Moore, NP

Nurse Practitioner · Fort Eustis, VA

NPI number 1487682290 Active

Practice location

815 Gaffey Pl
Fort Eustis, VA 23604-1505

Fax (757) 878-6280

Mailing address

860 Omni Blvd, Ste 303
Newport News, VA 23606-4477

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X0024166514 (VA)

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…

Another provider at this address

About NPI 1487682290

Susan Kaye Moore, NP's National Provider Identifier is 1487682290, issued on Jun 29, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Eustis, VA. The record was last updated on Feb 6, 2017.