Nola F. Moore FNP

NPI 1063529006 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1063529006
Gender Female
Enumeration Date 08/24/2006
Last Updated 11/07/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1706 PROSPECT DR
MACON MO, 63552-2615, US
Phone (660) 385-1006
Fax (660) 385-1028
Business Location
1836 LACKLAND HILL PKWY
ATTNT: CREDENTIALING DEPART.
SAINT LOUIS MO, 63146-3572, US
Phone (314) 989-0300
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Missouri
License Number 132701
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According to our database, Nola F. Moore FNP NPI is 1063529006, taxonomy code is 363L00000X and license number is 132701, license state is located at Missouri. Nola F. Moore FNP physically located at 1706 Prospect Dr, Macon MO, 63552-2615. NPI Number Nola F. Moore FNP has the Individual type.

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1063529006 NPI number is provided on an as is basis without warranty of any kind. 1063529006 is maintained by the National Plan & Provider Enumeration System. The contents of Nola F. Moore FNP are for informational purposes only.