Provider Demographics
NPI:1679008114
Name:MOIO, KATHERINE LAURA (PA)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:LAURA
Last Name:MOIO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MISS
Other - First Name:KATHERINE
Other - Middle Name:LAURA
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:205 MARY HIGGINSON LN
Mailing Address - Street 2:LEVEL 1
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-2658
Mailing Address - Country:US
Mailing Address - Phone:724-438-8765
Mailing Address - Fax:724-438-3911
Practice Address - Street 1:205 MARY HIGGINSON LN
Practice Address - Street 2:LEVEL 1
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2658
Practice Address - Country:US
Practice Address - Phone:724-438-8765
Practice Address - Fax:724-438-3911
Is Sole Proprietor?:No
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant