Trenita Lashawn Moore CFNP

NPI 1225239411 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1225239411
Gender Female
Enumeration Date 05/29/2007
Last Updated 12/13/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
200 W RAILROAD ST
LONG BEACH MS, 39560-4517, US
Phone (228) 864-0622
Fax (228) 864-7958
Business Location
PO BOX 869
200 W RAILROAD STREET
LONG BEACH MS, 39560-0869, US
Phone (228) 864-0622
Fax (228) 864-7958
Toxanomy
Taxonomy Code 363LF0000X
License State Mississippi
License Number R862256
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According to our database, Ms. Trenita Lashawn Moore CFNP NPI is 1225239411, taxonomy code is 363LF0000X and license number is R862256, license state is located at Mississippi. Trenita Lashawn Moore CFNP physically located at 200 W Railroad St, Long Beach MS, 39560-4517. NPI Number Trenita Lashawn Moore CFNP has the Individual type.

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1225239411 NPI number is provided on an as is basis without warranty of any kind. 1225239411 is maintained by the National Plan & Provider Enumeration System. The contents of Trenita Lashawn Moore CFNP are for informational purposes only.