National Provider Identifier
Jacob Moening
Jacob Moening is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist in Williamsville, NY and a listed phone number of (716) 632-1088.
Profile Overview
- NPI
- 1043821499
- Provider Type
- Individual
- Primary Specialty
- Certified Registered Nurse Anesthetist
- Enumeration Date
- August 10, 2020
- Last Updated
- August 10, 2020
Practice Location
- 30 S Cayuga RD
- Williamsville, NY 14221-6728
Phone: (716) 632-1088
Mailing Address
- 10680 Boyd Dr
- Clarence, NY 14031-2214
Specialties
- Certified Registered Nurse Anesthetist (367500000X)
Full Record
- NPI
- 1043821499
- Entity Type
- Individual
- Last Name
- Moening
- First Name
- Jacob
- Mailing Street Address
- 10680 Boyd Dr
- Mailing City
- Clarence
- Mailing State
- NY
- Mailing ZIP Code
- 14031-2214
- Mailing Country
- US
- Mailing Phone
- (419) 796-0922
- Practice Street Address
- 30 S Cayuga RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-6728
- Practice Country
- US
- Practice Phone
- (716) 632-1088
- Enumeration Date
- August 10, 2020
- Last Updated
- August 10, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 10, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Certified Registered Nurse Anesthetist (367500000X)