Provider Demographics
NPI:1255150637
Name:MOYER, ISOBEL (PA-C)
Entity type:Individual
Prefix:
First Name:ISOBEL
Middle Name:
Last Name:MOYER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:157 CRICKET AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-2117
Mailing Address - Country:US
Mailing Address - Phone:302-943-5137
Mailing Address - Fax:
Practice Address - Street 1:501 S WAWASET RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-6776
Practice Address - Country:US
Practice Address - Phone:610-344-5040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant