Mary Moore is a Big Stone Gap, Virginia based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Mary Moore is 0024049167 for Anesthesia Administration in Virginia. Her current practice location is 1980 Holton Ave E, Big Stone Gap. Patients can reach her at 276-523-3111. Mary Moore is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1912010166. Mary Moore is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mary Moore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Gender:
Female
Practice Address:
1980 Holton Ave E, Big Stone Gap, Virginia, 24219-3366
Phone:
276-523-3111
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1912010166
NPI Enumeration Date:
15 Aug, 2006
NPI Last Update On:
29 Nov, 2007
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Moore are as mentioned below.
License Number
Specialization
State
Status
0024049167
Anesthesia Administration
Virginia
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Moore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
74012436
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
999 Executive Park Blvd, Suite 201 Kingsport, Tennessee
Zip:
37660-4632
Phone Number:
423-224-3250
Fax Number:
423-224-3258
Patients can reach Mary Moore at 1980 Holton Ave E, Big Stone Gap, Virginia or can call to book an appointment on 276-523-3111.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.