Virginia Moyer

Individual provider Active NPI Licensed Vocational Nurse · Yeagertown, PA

NPI 1669866653 · NPPES record last updated Mar 27, 2015

Key facts

NPI
1669866653
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
PN278067 (PA)
Practice address
25 Rothermel Dr
Yeagertown, PA 17099-9707
Phone
(717) 248-8197
NPI assigned
Mar 27, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PN278067PAMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X PN278067 PA Yes

Addresses

Primary practice location

25 Rothermel Dr
Yeagertown, PA 17099-9707

Mailing address

25 Rothermel Dr
Yeagertown, PA 17099-9707
Phone (717) 248-8197

Other providers in Yeagertown, PA

All providers in Yeagertown, PA · Licensed Vocational Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.