Provider Demographics
NPI:1063041614
Name:MOYER, DEVIN SCIMECA (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:DEVIN
Middle Name:SCIMECA
Last Name:MOYER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:DEVIN
Other - Middle Name:ROCHELLE
Other - Last Name:SCIMECA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:3501 CIVIC CENTER BLVD OFC 5587
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-3820
Mailing Address - Country:US
Mailing Address - Phone:215-590-4281
Mailing Address - Fax:215-590-5326
Practice Address - Street 1:CHILDREN'S HOSPITAL OF PHILADELPHIA
Practice Address - Street 2:3401 CIVIC CENTER BLVD
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-590-4281
Practice Address - Fax:215-590-5326
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP021730363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics