Individual provider · Type 1 NPI
Tia Moore
Nurse Practitioner · Columbus, OH
Practice location
6100 E Main St Ste 110
Columbus, OH 43213-3399
Mailing address
10535 Tollgate Rd SW
Etna, OH 43062-8324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN.CNP.0040480 (OH) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1033083753
Tia Moore's National Provider Identifier is 1033083753, issued on Oct 4, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbus, OH. The record was last updated on Oct 4, 2025.