IndividualActive
Adam Moon
NPI 1316435548 · Certified Registered Nurse Anesthetist · Mattoon, IL
Provider details
- NPI number
- 1316435548
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Student Health Clinic/Center261QS1000X
Ambulatory Health Care Facilities
Practice location
1000 Health Center Dr
Mattoon, IL 61938-4644
Phone: (217) 258-2440
Fax: (217) 258-2186
Approximate (ZIP-level) locationGet directions
Mailing address
10468 E Kingwood Dr
Effingham, IL 62401-4354
Registry dates
- Enumerated
- 2018-04-24
- Last updated
- 2022-09-14
- Certified
- 2022-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.