Individual provider · Type 1 NPI

Johanna L. Moore, PAC

Physician Assistant · Bryn Mawr, PA

NPI number 1730153438 Active

Practice location

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010

Fax (610) 526-3614

Mailing address

PO Box 3012
Wilmington, DE 19804

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA002613L (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1730153438

Johanna L. Moore, PAC's National Provider Identifier is 1730153438, issued on Feb 17, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bryn Mawr, PA. The record was last updated on Jun 28, 2019.