MEDICARE: MRS. ERIN L MOEN CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	SP009619	PA
2	163W00000X	Registered Nurse	560570	PA
3	363LG0600X	Gerontology Nurse Practitioner	SP009622	PA

General Provider Information

NPI Number	:	1285824987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIN L MOEN CRNP

Provider Business Mailing Address
First Line	:	PO BOX 746722
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6722
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 PARK LANE DRIVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15275-5620
Country	:	US
Telephone Number	:	773-292-4800
Fax Number	:	312-564-4059

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2007
Last Update Date	:	01/23/2026

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