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

Mary Moore, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1912010166

Mary Moore, CRNA is a Certified Registered Nurse Anesthetist in Big Stone Gap, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

1980 Holton Ave E
Big Stone Gap, VA 24219-3366
Phone: (276) 523-3111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 0024049167 (VA)

Record details

NPI number1912010166
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESNovember 29, 2007
Mailing address999 Executive Park Blvd, Suite 201, Kingsport, TN 37660-4632

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