Individual provider · Type 1 NPI
Dede Moore
Acute Care Nurse Practitioner · Midland, GA
NPI number
1255510335
Active
Practice location
2547 Central Church Rd
Midland, GA 31820-4589
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 126409 (GA) |
Acute Care Nurse Practitioner: Definition to come...
About NPI 1255510335
Dede Moore's National Provider Identifier is 1255510335, issued on Oct 25, 2007. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Midland, GA. The record was last updated on Oct 25, 2007.