MEDICARE: ELIZABETH J. MORIARTY CRNA

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	367500000X	Certified Registered Nurse Anesthetist	730627	NY
2	367500000X	Certified Registered Nurse Anesthetist	ARNP3242582	FL
3	367500000X	Certified Registered Nurse Anesthetist	0024175552	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	G3554	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1447271176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH J. MORIARTY CRNA

Provider Business Mailing Address
First Line	:	PO BOX 4918
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32802-4918
Country	:	US
Telephone Number	:	407-581-9180
Fax Number	:	865-560-7066

Provider Business Practice Location Address
First Line	:	1250 E MARSHALL ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23298-5023
Country	:	US
Telephone Number	:	804-828-2207
Fax Number	:	804-828-8300

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	08/25/2025

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