Healthcare Provider Details

I. General information

NPI: 1053075663
Provider Name (Legal Business Name): RACHEL ELIZABETH MOYNIHAN AG ACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2021
Last Update Date: 07/12/2025
Certification Date: 07/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 BILTMORE AVE
ASHEVILLE NC
28801-4601
US

IV. Provider business mailing address

6 WAVERLY RD
ASHEVILLE NC
28803-2231
US

V. Phone/Fax

Practice location:
  • Phone: 828-246-6000
  • Fax:
Mailing address:
  • Phone: 828-400-8884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number5015282
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5015282
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: