Individual provider · Type 1 NPI
Laura O. Moore, BSN, MN, RN
General Practice Registered Nurse · Dallas, GA
NPI number
1255875738
Active
Practice location
440 Thomas Rd
Dallas, GA 30132-7703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 636351 (GA) |
General Practice Registered Nurse: Definition to come...
About NPI 1255875738
Laura O. Moore, BSN, MN, RN's National Provider Identifier is 1255875738, issued on Dec 19, 2016. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Dallas, GA. The record was last updated on Dec 19, 2016.