IndividualActive
Moorea Massa, PA-C
NPI 1013664093 · Surgical Physician Assistant · Fayetteville, AR
Provider details
- NPI number
- 1013664093
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3336 N Futrall Dr
Fayetteville, AR 72703-4057
Phone: (479) 463-3000
Approximate (ZIP-level) locationGet directions
Mailing address
614 Ne Alpha Cir Apt 308
Bentonville, AR 72712-3050
Registry dates
- Enumerated
- 2022-03-09
- Last updated
- 2023-05-30
- Certified
- 2023-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.