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General NPI Number Information
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NPI Number | 1427748169
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Entity Type | Individual
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Provider Name | MOYA ANNALIES HASH NP
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Gender | Female
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 210 FAIRVIEW DR
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City | FRANKLIN
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State | VA
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Zip | 23851-1216
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Country | US
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Telephone | 757-562-7301
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Fax |
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Provider Business Mailing Address
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Address Line | 1335 MANNING RD
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City | SUFFOLK
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State | VA
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Zip | 23434-8575
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Country | US
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Telephone | 630-450-7980
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0024186946
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License Number State | VA
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