MRS. WIETSKE WILLEMSMA MOORE


Address: 3020 14th St Nw, Washington, DC 20009-6865
Phone: 2027454300

MRS. WIETSKE WILLEMSMA MOORE (NPI# 1235291394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235291394
Entity Type Individual
Full Name MRS. WIETSKE WILLEMSMA MOORE
Credential CFNP
Practice Address 3020 14th St Nw
Washington
DC 20009-6865
Mailing Address 12548 Mountain Rd
Lovettsville
VA 20180-2609
Practice Telephone 2027454300
Practice Fax Number 2027455907
Mailing Telephone 7035544527
Enumeration Date 2006-12-15
Last Update Date 2011-09-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN966736 DC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3020 14TH ST NW
City WASHINGTON
State DC
Zip Code 20009-6865

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154392926 Christine Jeanette Lepoutre Psychiatry & Neurology 3020 14th St Nw, Upper Cardozo Health Center, Unity Health Care, Washington, DC 20009-6865 2006-01-30
1235756669 Rosanna Maribel Sanchez John Counselor 3020 14th St Nw, Washington, DC 20009-6865 2020-07-01
1578028460 Katherine Maestre Caro Counselor 3020 14th St Nw, Washington, DC 20009-6865 2019-02-05
1992297378 Shakita Chavette Mcbrayer Technician 3020 14th St Nw, Washington, DC 20009-6865 2018-06-01
1205345113 Maariya Bassa Advanced Practice Midwife 3020 14th St Nw, Washington, DC 20009-6865 2017-09-22
1306361225 Kyle Wehrend Social Worker 3020 14th St Nw, Washington, DC 20009-6865 2017-08-11
1790219319 Yodit Beru Internal Medicine 3020 14th St Nw, Washington, DC 20009-6865 2017-04-20
1760928733 Unity Health Care Inc Pharmacy 3020 14th St Nw, Washington, DC 20009-6865 2017-01-13
1023460573 Sidalia Reed Dentist 3020 14th St Nw, Washington, DC 20009-6865 2016-07-08
1679936033 Hannah Ilene Sandler Herman Family Medicine 3020 14th St Nw, Washington, DC 20009-6865 2016-04-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1124596317 Javan Anti Aging and Wellness Institute Clinic/Center 1626 U St Nw, Washington, DC 20009 2018-11-06
1477052272 Shaw Family Dentistry Pllc Dentist 1515 U Street Nw, Suite A1 C1, Washington Dc, DC 20009 2018-02-07
1942728597 Emily Schwaber Speech-Language Pathologist 5185 Macarthur Boulevard Suite 101, Washington, DC 20009 2017-09-05
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1700313707 Salome Fomukong Home Health Aide 1752 Columbia Rd #2, Tierno Care Home Health Agency, Washington, DC 20009 2017-05-22
1912432436 Mcclain Eyewear Eyewear Supplier (Equipment, not the service) 1514 U Street Nw, Washington, DC 20009 2017-04-21
1487195624 Jasmine Thomas Home Health Aide 1440 W St Nw #b1, Washington, DC 20009 2017-03-20
1760923361 Natasha Khawaja Family Medicine Upper Cardozo Community Health Center, 320 14th Street Nw, Washington, DC 20009 2017-03-15
1134672520 Margaret Ache Tata Tanwani Home Health Aide 1752 Columbia Rd, North West Washington Dc, North West Washington, DC 20009 2016-08-02
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City WASHINGTON
Zip Code 20009

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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