NPI 1003066259

Laura Diane Moon

Practitioner Certified Registered Nurse Anesthetist Greenwood, SC

Practice location

Address: 1325 Spring St, Greenwood, SC 29646-3860
Phone: (864) 725-4111
Mailing address: 110 Roane St, Charleston, WV 25302-2334

Registered specialties (3)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 26055 (SC)

Other Nurse Anesthetist, Certified Registered providers in South Carolina →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 55025 (WV)

Other Registered Nurse providers in South Carolina →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 79610 (WV)

Registry record

NPI: 1003066259
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Sep 2008
Record last updated: 15 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.