Provider Demographics
NPI:1770190332
Name:MOYE, CIERRA M
Entity Type:Individual
Prefix:MS
First Name:CIERRA
Middle Name:M
Last Name:MOYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5750 ARBORWOOD CT APT B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3468
Mailing Address - Country:US
Mailing Address - Phone:614-902-6329
Mailing Address - Fax:
Practice Address - Street 1:5750 ARBORWOOD CT APT B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3468
Practice Address - Country:US
Practice Address - Phone:614-902-6329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHTS976543374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide