VANESSA MOE


Address: 42949 N Voyage Trl, Phoenix, AZ 85086-8040
Phone: 6235217253

VANESSA MOE (NPI# 1700494374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700494374
Entity Type Individual
Full Name VANESSA MOE
Credential NP
Practice Address 42949 N Voyage Trl
Phoenix
AZ 85086-8040
Practice Telephone 6235217253
Mailing Telephone 6235217253
Enumeration Date 2020-07-20
Last Update Date 2020-07-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
244749 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 42949 N VOYAGE TRL
City PHOENIX
State AZ
Zip Code 85086-8040

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City PHOENIX
Zip Code 85086

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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