Individual provider · Type 1 NPI
Mary Rose Moore, FNP-C
Family Nurse Practitioner · Lyndhurst, OH
NPI number
1205205804
Active
Practice location
1443 Richmond Road
Lyndhurst, OH 44124
Mailing address
1443 Richmond Rd
Lyndhurst, OH 44124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN.CNP.18094 (OH) |
Family Nurse Practitioner: Definition to come...
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About NPI 1205205804
Mary Rose Moore, FNP-C's National Provider Identifier is 1205205804, issued on Sep 24, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lyndhurst, OH. The record was last updated on Oct 3, 2017.