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

Mr. Eric Tyson Moon, CRNA

Individual provider Registered Nurse · NPI 1669891974

Mr. Eric Tyson Moon, CRNA is a Registered Nurse in Portsmouth, Ohio. Licensed in Florida, Ohio and Pennsylvania. Registered with an NPI since 2014.

Licensed in
FL, OH, PA
In the registry since
2014
Specialties on file
5
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1805 27th St
Portsmouth, OH 45662-2640
Phone: (740) 356-8034
Fax: (740) 353-7900
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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 RN593747 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN593747 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN.312401 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence ARNP9266653 (FL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 101896 (FL)

Record details

NPI number1669891974
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 15, 2014
Last updated in NPPESJune 22, 2018

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