Ms Mary Thurston Moynahan, FNP, BC is a
Nurse Practitioner - Family based in Manteo, North Carolina. Ms Mary Thurston Moynahan is licensed to practice in North Carolina (license number 201043) and her current practice location is
109 Exeter Street, Manteo, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 475-5007.
NPI number for Ms Mary Thurston Moynahan is 1962520841 and her current mailing address is 189 High Dune Loop, Kitty Hawk, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962520841.
Provider's Profile
Full Name | Ms Mary Thurston Moynahan |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 109 Exeter Street, Manteo, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962520841
- Provider Enumeration Date: 03/27/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Mary Thurston Moynahan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962520841 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 201043 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mary Thurston Moynahan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Mary Thurston Moynahan, FNP, BC 189 High Dune Loop, Kitty Hawk, NC 27949-3710 Ph: (252) 261-1222 | Ms Mary Thurston Moynahan, FNP, BC 109 Exeter Street, Manteo, NC 27954-1000 Ph: (252) 475-5007 |
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