Individual provider · Type 1 NPI

Annie Waldrum Moore, NP

Women's Health Nurse Practitioner · Burlington, MA

NPI number 1164799797 Active

Practice location

101 Cambridge St
Burlington, MA 01803-3766

Fax (781) 270-4196

Mailing address

452 Broadway, Unit 3
Cambridge, MA 02138-4158

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102XRN2270524 (MA)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1164799797

Annie Waldrum Moore, NP's National Provider Identifier is 1164799797, issued on Nov 28, 2011. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Burlington, MA. The record was last updated on Nov 28, 2011.