IndividualActive
Addison Moon
NPI 1669267647 · Student in an Organized Health Care Education/Training Program · Charlottesville, VA
Provider details
- NPI number
- 1669267647
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
1215 Lee St Box 800501
Charlottesville, VA 22908-0816
Phone: (434) 924-5321
Fax: (434) 244-4142
Approximate (ZIP-level) locationGet directions
Mailing address
1215 Lee St Box 800501
Charlottesville, VA 22908-0816
Registry dates
- Enumerated
- 2025-04-11
- Last updated
- 2025-04-11
- Certified
- 2025-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.