Individual provider · Type 1 NPI

Emily Moore, CNP

Nurse Practitioner · Beachwood, OH

NPI number 1043037583 Active

Practice location

3619 Park East Dr Ste 109
Beachwood, OH 44122-4312

Mailing address

PO Box 772928
Detroit, MI 48277-2928

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN.CNP.0037649 (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 1043037583

Emily Moore, CNP's National Provider Identifier is 1043037583, issued on Sep 25, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Beachwood, OH. The record was last updated on Apr 14, 2025.