Provider Demographics
NPI:1295574333
Name:MOOREFIELD, EMILY J (RN HEALTH COACH)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:J
Last Name:MOOREFIELD
Suffix:
Gender:F
Credentials:RN HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1565 MOOREFIELD RD
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:NC
Mailing Address - Zip Code:27016-7006
Mailing Address - Country:US
Mailing Address - Phone:336-407-6049
Mailing Address - Fax:
Practice Address - Street 1:7855 DORAL DR
Practice Address - Street 2:
Practice Address - City:TOBACCOVILLE
Practice Address - State:NC
Practice Address - Zip Code:27050-9002
Practice Address - Country:US
Practice Address - Phone:336-741-1319
Practice Address - Fax:336-232-9677
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
171400000X
NC16503163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No171400000XOther Service ProvidersHealth & Wellness Coach