Individual provider · Type 1 NPI
Nyiesha Moore, RN
Psychiatric/Mental Health Nurse Practitioner · Syracuse, NY
NPI number
1235718933
Active
Practice location
4900 Broad Rd
Syracuse, NY 13215-2265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 701128 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 403527 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1235718933
Nyiesha Moore, RN's National Provider Identifier is 1235718933, issued on Apr 7, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Syracuse, NY. The record was last updated on Jun 23, 2021.