NPI 1023614971

Angela Elizabeth Moening, LATATC

Practitioner Athletic Trainer Norfolk, VA

Practice location

Address: 4251 Powhatan Ave, Norfolk, VA 23508-2225
Phone: (419) 204-4187
Mailing address: 705 Redgate Ave APT 17, Norfolk, VA 23507-1633

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0126002873 (VA)

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Registry record

NPI: 1023614971
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Dec 2020
Record last updated: 7 Dec 2020

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.