Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Moana Wellness Practice

Organization Family Nurse Practitioner · NPI 1689540254

Moana Wellness Practice provides Family Nurse Practitioner services in Folcroft, Pennsylvania. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2019 Ravenwood Rd
Folcroft, PA 19032-1508
Phone: (123) 456-7890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1689540254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Bangura — Fnp · (123) 456-7890
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025
Mailing address2019 Ravenwood Rd, Folcroft, PA 19032-1508

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