Individual provider · Type 1 NPI

Kelly Moore, APRN

Nurse Practitioner · Tampa, FL

NPI number 1134424906 Active

Practice location

3919 Riga Blvd
Tampa, FL 33619-1345

Mailing address

101 S Bayshore Blvd Ste 43
Safety Harbor, FL 34695-4028

Other practice locations

  • 7100 Raggard Rd, Louisville, KY 40216-1287 · (502) 736-9977
  • 220 N Howard Ave, Tampa, FL 33606-1529 · (813) 558-9500

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X9351074 (FL)

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 1134424906

Kelly Moore, APRN's National Provider Identifier is 1134424906, issued on Jan 25, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tampa, FL. The record was last updated on Dec 5, 2022.