| Doctor Name: | MEGAN K MOORE |
| NPI Number: | 1184993495 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP011747 |
| Business Practice Address: | 714 N Bethlehem Pike Suite101 Lower Gwynedd, PA - 190022655 |
| Business Phone Number: | 2155404411 |
| Business Fax Number: | 2155404415 |
| Mailing Address: | 714 N Bethlehem Pike, Suite101 LOWER GWYNEDD |
| State: | PA |
| Postal Code: | 190022655 |
| Phone Number: | 2155404411 |
| Fax Number: | 2155404415 |
| NPI Enumeration Date: | 12/16/2011 |
| NPI Last Update Date: | 12/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | SP011747 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |