Individual provider · Type 1 NPI

Megan Kathleen Moore, CRNP

Adult Health Nurse Practitioner · Philadelphia, PA

NPI number 1184993495 Active

Practice location

3400 Spruce St, 2 Ravdin
Philadelphia, PA 19104-4238

Fax (215) 349-5579

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XSP011747 (PA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1184993495

Megan Kathleen Moore, CRNP's National Provider Identifier is 1184993495, issued on Dec 16, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 7, 2019.