Provider Demographics
NPI:1912790114
Name:MOYER, ERIN (APRN, MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:MOYER
Suffix:
Gender:F
Credentials:APRN, MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12634 HIGHWAY 13
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:MO
Mailing Address - Zip Code:64085-8037
Mailing Address - Country:US
Mailing Address - Phone:816-694-8552
Mailing Address - Fax:
Practice Address - Street 1:12634 HIGHWAY 13
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:MO
Practice Address - Zip Code:64085-8037
Practice Address - Country:US
Practice Address - Phone:816-694-8552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOF05250735363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily