Anastasia Meixner Moore, NP | |
411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | |
(509) 633-6326 | |
Not Available |
Full Name | Anastasia Meixner Moore |
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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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235178591 PECOS PAC ID: 0446164495 Enrollment ID: O20040715001410 |
Entity Name | Blue Ridge Hospice Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689333072 PECOS PAC ID: 8426151036 Enrollment ID: O20070319000503 |
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 |