Kathleen Moore CRNA

NPI 1124036306 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1124036306
Gender Female
Enumeration Date 08/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
455 SAINT MICHAELS DR
OB UNIT
SANTA FE NM, 87505-7601, US
Phone (505) 820-5554
Fax (505) 820-5440
Business Location
455 SAINT MICHAELS DR
MEDICAL STAFF OFFICE
SANTA FE NM, 87505-7601, US
Phone (505) 820-5554
Fax (505) 820-5440
Toxanomy
Taxonomy Code 367500000X
License State New Mexico
License Number R46711
Remove 1124036306 NPI Number
 

According to our database, Ms. Kathleen Moore CRNA NPI is 1124036306, taxonomy code is 367500000X and license number is R46711, license state is located at New Mexico. Kathleen Moore CRNA physically located at 455 Saint Michaels Dr, Santa Fe NM, 87505-7601. NPI Number Kathleen Moore CRNA has the Individual type.

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1124036306 NPI number is provided on an as is basis without warranty of any kind. 1124036306 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Moore CRNA are for informational purposes only.