Individual provider · Type 1 NPI

Misty Jane Moore, CRNA

Certified Registered Nurse Anesthetist · Dallas, TX

NPI number 1093055188 Active

Practice location

6606 Lbj Fwy Ste 200
Dallas, TX 75240-6524

Call (972) 715-5000 Map

Fax (972) 715-9976

Mailing address

429 Evening Shadows Trl
Holly Lake Ranch, TX 75765-6346

Other practice locations

615 N Bonita Ave, Panama City, FL 32401-3623 · (850) 747-6050
1814 Roseland Blvd, Tyler, TX 75701-4234 · (903) 525-3300

Specialties and licenses

Taxonomy	Code	License
Certified Registered Nurse Anesthetist	367500000X	RN3347012 (FL)
Certified Registered Nurse Anesthetist Primary	367500000X	AP145429 (TX)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1093055188

Misty Jane Moore, CRNA's National Provider Identifier is 1093055188, issued on Feb 26, 2013. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Dallas, TX. The record was last updated on May 11, 2021.