| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RAVEEN MOONEY | 1194392506 | 2021-06-06 |
Raveen Mooney is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1194392506. Registration indicates Raveen Mooney is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Raveen Mooney MMS, PA-C |
| Practice Office Address | 1501 M ST NW STE 450 WASHINGTON, DC US |
| Practice Office Telephone | 8886636331 |
| Mailing Address | 1 EMBARCADERO CTR STE 1900 SAN FRANCISCO, CA 941113723 US |
| Business Telephone | 4156586791 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | PENDING
DC |