Charlene H. Moon in Savannah - Nurse Practitioner
Charlene H. Moon - NPI 1457414195
Charlene H. Moon is a Nurse Practitioner in Savannah, Georgia. Charlene H. Moon practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Charlene H. Moon is 1457414195. The last update date is 2019-05-03.
Charlene H. Moon's current location address is 107b Fahm St, Savannah, Georgia. You can contact this provider via phone number 9126512253. The mailing address for Charlene H. Moon is 107b Fahm St, Savannah, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charlene H. Moon |
|---|---|
| Address | 107b Fahm St, Savannah, Georgia |
| Phone Number | 9126512253 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1457414195 |
|---|---|
| Provider Enumeration Date | 2006-12-17 |
| Last Updated Date | 2019-05-03 |
Provider Mailing Address Detail
| Address | 107b Fahm St |
|---|---|
| City | Savannah |
| State | Georgia (GA) |
| Post Code | 314012391 |
| Phone Number | 9126512253 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | RN046402 |
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Definition: (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 certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10063460 | AMERIGROUP | ||
| 000632563C | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Charlene H. Moon by the Centers for Medicare & Medicaid Services?
The Charlene H. Moon has been assigned the NPI (National Provider Identifier) 1457414195 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Charlene H. Moon located?
The Charlene H. Moon is located at 107B Fahm St, Savannah, GA 314012391.
What is Charlene H. Moon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charlene H. Moon's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Charlene H. Moon receive its 1457414195 assignment from the Centers for Medicare & Medicaid Services?
The Charlene H. Moon was assigned its 1457414195 by the Centers for Medicare & Medicaid Services on 2006-12-17.
When was the information regarding Charlene H. Moon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Charlene H. Moon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-05-03.