Individual provider · Type 1 NPI
Bertha Jean Moore, RN
Ambulatory Care Registered Nurse · Prescott, AZ
NPI number
1073266722
Active
Practice location
236 Midway
Prescott, AZ 86305-5051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse Primary | 163WP2201X | RN070305 (AZ) |
Ambulatory Care Registered Nurse: Definition to come...
About NPI 1073266722
Bertha Jean Moore, RN's National Provider Identifier is 1073266722, issued on Feb 2, 2022. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Prescott, AZ. The record was last updated on Feb 2, 2022.