Individual provider · Type 1 NPI

Taylor Suzanne Moore, FNP-C

Family Nurse Practitioner · Latham, NY

NPI number 1255911491 Active

Practice location

6 Wellness Way Ste 101
Latham, NY 12110-2156

Fax (518) 782-0800

Mailing address

6 Wellness Way Ste 201
Latham, NY 12110-2156

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X687473 (NY)
Family Nurse Practitioner 363LF0000XF34738801 (NY)
Family Nurse Practitioner Primary 363LF0000XF347388 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1255911491

Taylor Suzanne Moore, FNP-C's National Provider Identifier is 1255911491, issued on Apr 12, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Latham, NY. The record was last updated on Feb 12, 2024.