Healthcare Provider Details

I. General information

NPI: 1912790114
Provider Name (Legal Business Name): ERIN MOYER APRN, MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12634 HIGHWAY 13
RICHMOND MO
64085-8037
US

IV. Provider business mailing address

12634 HIGHWAY 13
RICHMOND MO
64085-8037
US

V. Phone/Fax

Practice location:
  • Phone: 816-694-8552
  • Fax:
Mailing address:
  • Phone: 816-694-8552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF05250735
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: