person
Moira Hanley-nieman, PA-C
Medical Physician Assistant in Leesburg, Virginia
NPI 1629100185

Moira Hanley-nieman is a Medical Physician Assistant based in Leesburg, VA and is specialized in Medical. Moira Hanley-nieman practices in Leesburg, VA and has the professional credentials of PA-C. The NPI Number for Moira Hanley-nieman is 1629100185 and holds a License No. 0110003807 (Virginia).

The current practice location address for Moira Hanley-nieman is 211 Gibson Street, Nw, Suite 215, Leesburg, VA and can be reached out via phone at 571-707-2085 and via fax at 571-291-9196.

Location: 211 Gibson Street, Nw, Suite 215, Leesburg, VA, 20176-2704
person
Provider Profile Details
NPI Number
1629100185
Provider Name
Moira Hanley-nieman
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
211 Gibson Street, Nw, Suite 215, Leesburg, VA, 20176-2704
Phone Number
571-707-2085
Fax Number
571-291-9196
Provider Enumeration Date
03/11/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1629100185 05 VA
30015872740001 05 VA
institution
Provider Business Practice Location Address Details
Address
211 Gibson Street, Nw, Suite 215
City
State
Zip
20176-2115
Phone Number
571-707-2085
Fax Number
571-291-9196
person
Provider Business Mailing Address Details
Address
211 Gibson Street, Nw, Suite 215
City
State
Zip
20176-2115
Phone Number
571-707-2085
Fax Number
571-291-9196
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110003807 (Virginia)
Definition
Definition to come...
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