Irene Moore NP

NPI 1003822925 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1003822925
Gender Female
Enumeration Date 07/31/2006
Last Updated 06/22/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1791 E FIR AVE
FRESNO CA, 93720-3840, US
Phone (559) 326-1222
Fax (559) 326-1230
Business Location
29776 HORSESHOE CT
COARSEGOLD CA, 93614, US
Phone (559) 326-1222
Fax (559) 326-1230
Toxanomy
Taxonomy Code 363L00000X
License State California
License Number RN4177046768
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According to our database, Irene Moore NP NPI is 1003822925, taxonomy code is 363L00000X and license number is RN4177046768, license state is located at California. Irene Moore NP physically located at 1791 E Fir Ave, Fresno CA, 93720-3840. NPI Number Irene Moore NP has the Individual type.

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1003822925 NPI number is provided on an as is basis without warranty of any kind. 1003822925 is maintained by the National Plan & Provider Enumeration System. The contents of Irene Moore NP are for informational purposes only.