MS. MARY THURSTON MOYNAHAN (NPI# 1962520841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962520841 |
| Entity Type | Individual |
| Full Name | MS. MARY THURSTON MOYNAHAN |
| Credential | FNP, BC |
| Practice Address |
109 Exeter Street Manteo NC 27954-1000 |
| Mailing Address |
189 High Dune Loop Kitty Hawk NC 27949-3710 |
| Practice Telephone | 2524755007 |
| Mailing Telephone | 2522611222 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201043 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
109 EXETER STREET |
| City | MANTEO |
| State | NC |
| Zip Code | 27954-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316598873 | Island Pharmacy Inc | Pharmacy | 210 S Us Hwy 64/264, Manteo, NC 27954 | 2019-09-26 |
| 1104300847 | Saskia Thompson | Pharmacist | Cvs, 1115 South, Us-64, Manteo, NC 27954 | 2018-09-19 |
| 1619372273 | Gina Booth | Massage Therapist | 711 N Hwy 64, Manteo, NC 27954 | 2014-10-24 |
| 1184052870 | Katherine Ruth Moore | Pharmacist | 1115 South Us Highway 64, Manteo, NC 27954 | 2013-10-16 |
| 1033556162 | Troy B Sluder IIi Dds Pllc | Dentist | 503 Cypress Lane Suite C, Manteo, NC 27954 | 2013-05-30 |
| 1013219369 | Amanda Elizabeth Hall | Speech-Language Pathologist | 706 Arvilla Lane, Manteo, NC 27954 | 2010-11-18 |
| 1912186735 | Making A Difference Community Support LLC | Clinic/Center | 102 Old Tom Ave., Manteo, NC 27954 | 2007-10-29 |
| 1619156718 | Dare Medical & Cardiovascular Associates | Internal Medicine | 604 Amanda Street, Manteo, NC 27954 | 2007-10-25 |
| 1518164607 | Heather R Wedgworth | Physical Therapist | 110 S Us Hwy 64/264, Manteo, NC 27954 | 2007-07-02 |
| 1306048186 | Dare County Department of Social Services | Public Health or Welfare | 107 Exeter St., Manteo, NC 27954 | 2007-06-04 |
| Find all providers in zip 27954 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811144 | Alice Bradshaw Callis | Nurse Practitioner | 110 Widgeon Dr, Currituck, NC 27929-9628 | 2020-11-04 |
| 1417558990 | Munira Amirali Ward | Nurse Practitioner | 2617 Valley Haven Dr, Raleigh, NC 27603-3197 | 2020-11-03 |
| 1245830215 | Whitney Rains Taheri | Nurse Practitioner | 3004 Tower Blvd, Durham, NC 27707-2542 | 2020-10-29 |
| 1972103232 | Tauscha Alyse Gerald | Nurse Practitioner | 48 Flora Dr, Benson, NC 27504-8076 | 2020-10-27 |
| 1265031413 | Autumn Grimm | Nurse Practitioner | 511 Lauchwood Dr, Laurinburg, NC 28352-5502 | 2020-10-20 |
| 1619576857 | Candace Allen | Nurse Practitioner | 1215 W Clemmonsville Rd, Winston Salem, NC 27127-4521 | 2020-10-20 |
| 1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
| 1720686256 | Sheri Elizabeth Maclean | Nurse Practitioner | 117 Ivy Brook Ln, Chapel Hill, NC 27516-8084 | 2020-10-16 |
| 1326645649 | Christina Mccartney Bulluck | Nurse Practitioner | 105 Nassau Ct, Nashville, NC 27856-1656 | 2020-10-09 |
| 1609473172 | Amy Marie Errichetti | Nurse Practitioner | 1349 Upper Brush Creek Rd, Fairview, NC 28730-9217 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. MARY THURSTON MOYNAHAN.
| 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.