SUSAN S MOUA FNP
NPI 1134908106
Nurse Practitioner - Family in Oakwood, GA
Active since September 27, 2023
About Susan S Moua Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN S MOUA FNP (NPI 1134908106) is an individual family provider in Oakwood, Georgia, licensed in Georgia (RN272667) and active in the NPI registry since September 2023.
NPPES Registry Identity
NPI1134908106
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN S MOUACredential: FNP
Location Address3626 OLD OAKWOOD RDOakwood, GA 30566-2805
Mailing Address538 Rockwell Church Rd NwWinder, GA 30680-2833 · (678) 920-1921
Phone(301) 357-9751
Sole ProprietorYes
Enumeration DateSeptember 27, 2023
NPPES CertifiedSeptember 27, 2023
✔ NPI 1134908106 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN272667
3626 OLD OAKWOOD RD, Oakwood, GA 30566
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134908106, enumerated as an "individual" on September 27, 2023.
The provider is located at 3626 OLD OAKWOOD RD OAKWOOD, GA 30566 and the phone number is (301) 357-9751.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
