Individual provider · Type 1 NPI
Raven Orgeron Moore, MSN, RN
Family Nurse Practitioner · Mandeville, LA
NPI number
1073296257
Active
Practice location
1333 Ridge Way Dr
Mandeville, LA 70471-7461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | RN110443 (LA) |
| Family Nurse Practitioner | 363LF0000X | RN110443 (LA) |
| Family Nurse Practitioner Primary | 363LF0000X | 234256 (LA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1073296257
Raven Orgeron Moore, MSN, RN's National Provider Identifier is 1073296257, issued on Aug 14, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mandeville, LA. The record was last updated on Jan 27, 2024.