| Mary Moore, CRNA | |
|
1980 Holton Ave E, Big Stone Gap, VA 24219-3366 | |
| (276) 523-3111 | |
| Not Available |
| Full Name | Mary Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1980 Holton Ave E, Big Stone Gap, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912010166 | NPI | - | NPPES |
| 74012436 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024049167 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Moore, CRNA 999 Executive Park Blvd, Suite 201, Kingsport, TN 37660-4632 Ph: (423) 224-3250 | Mary Moore, CRNA 1980 Holton Ave E, Big Stone Gap, VA 24219-3366 Ph: (276) 523-3111 |
Mrs. Patty Biles, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1990 Holton Ave E, Big Stone Gap, VA 24219 Phone: 276-523-3111 | |
Crystal L Hunnicutt, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1990 Holton Ave E, Big Stone Gap, VA 24219 Phone: 423-523-3111 Fax: 423-224-3258 | |
Martha Mae Hensley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1990 Holton Ave. East, Big Stone Gap, VA 24219 Phone: 276-523-3111 |