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

Mrs. Angela Dawn Moore, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1194164673

Mrs. Angela Dawn Moore, FNP-BC is a Nurse Practitioner in Beckley, West Virginia. Qualified in 2012, 14 years ago. Accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
14
Licensed in
WV
In the registry since
2013
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

224 Professional Park
Beckley, WV 25801-3624
Phone: (304) 255-9444
Fax: (304) 255-9447
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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 · Licence 78627 (WV)

Record details

NPI number1194164673
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJune 18, 2013
Last updated in NPPESJanuary 12, 2025
Certification dateJanuary 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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