Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moana Wellness Practice

Organization Family Nurse Practitioner · NPI 1689540254

Moana Wellness Practice is a Family Nurse Practitioner 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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