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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHANNA L MOORE, PAC

Active

JOHANNA L MOORE, PAC is a Physician Assistant healthcare provider located in BRYN MAWR, Pennsylvania. NPI 1730153438 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BRYN MAWR, PA

Registration Details

NPI Number
1730153438
Provider Type
Individual
Gender
Female
NPI Issued
Feb 17, 2006 (20.448219217102 yrs)
Last Updated
Jun 28, 2019
License
MA002613L (PA)

Practice Information

Address
130 S BRYN MAWR AVE
BRYN MAWR, PA, 19010
Browse PA providers · Browse ZIP 19010
Phone
6105263583
Fax
6105263614
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BRYN MAWR, PA

Name Credential NPI
MRS. AMY BETH WERTMAN P.A. 1669470738
KIERSTIN N ZETTERBERG P.A. 1407856297
JAMES H RIGSBEE PAC 1770553661
WILLIAM S DREW PAC 1063486827
LIBERTY BELLE JAY PA-C 1770529422
MS. RAFAELE T CALAMIA PA-C 1134295173
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.