Individual provider · Type 1 NPI
Holly Dawn Moore, RN
General Practice Registered Nurse · St. Marys, WV
NPI number
1992560940
Active
Practice location
111 Lafayette St Ste 202
St. Marys, WV 26170-1059
Mailing address
2417 Mckim Creek Rd
Pennsboro, WV 26415-8026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 108215 (WV) |
General Practice Registered Nurse: Definition to come...
About NPI 1992560940
Holly Dawn Moore, RN's National Provider Identifier is 1992560940, issued on Feb 19, 2024. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in St. Marys, WV. The record was last updated on Feb 19, 2024.