| Anastasia Meixner Moore, NP | |
|
411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | |
| (509) 633-6326 | |
| Not Available |
| Full Name | Anastasia Meixner Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 411 Fortuyn Rd, Grand Coulee, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528480506 | NPI | - | NPPES |
| 0024178054 | Other | VA | LICENSE |
| AP61634868 | Other | WA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024178054 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP61634868 (Washington) | Primary |
| Entity Name | Valley Regional Enterprises, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235178591 PECOS PAC ID: 0446164495 Enrollment ID: O20040715001410 |
| Mailing Address | Practice Location Address |
|---|---|
| Anastasia Meixner Moore, NP 220 Campus Blvd Ste 210, Winchester, VA 22601-2889 Ph: (540) 536-5100 | Anastasia Meixner Moore, NP 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 Ph: (509) 633-6326 |
Cassandra Klakken Viramontes, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1911 Fax: 509-633-3644 | |
Shelly J Gilliland, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1753 Fax: 509-633-1930 | |
Rhonda Marie Ramm, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1753 | |
Ms. Gail A. Peterson, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1753 Fax: 509-633-1933 | |
Karen Dawn Rimpler, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1753 Fax: 509-633-0295 |