Individual provider · Type 1 NPI
Michelle Moore
Primary Care Nurse Practitioner · New York, NY
NPI number
1043769268
Active
Practice location
632 Broadway Ph 12
New York, NY 10012-2614
Fax (205) 332-1383
Other practice locations
- 458 N May St, Chicago, IL 60642-5819 · (312) 810-8896
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209.014876 (IL) |
| Gerontology Nurse Practitioner | 363LG0600X | 209.014876 (IL) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 209.014876 (IL) |
Primary Care Nurse Practitioner: Definition to come...
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- Whitney Dannelle Davidson, MSN, FNP-BCPrimary Care Nurse Practitioner New York, NY NPI 1013369388
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About NPI 1043769268
Michelle Moore's National Provider Identifier is 1043769268, issued on Sep 29, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in New York, NY. The record was last updated on Sep 5, 2022.