Individual provider · Type 1 NPI

Sannia Moore

Acute Care Nurse Practitioner · Baltimore, MD

NPI number 1295137107 Active

Practice location

401 N Broadway St, Suite 1358
Baltimore, MD 21287-0019

Mailing address

17 Wickham Ct
Reisterstown, MD 21136-3092

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XR169636 (MD)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1295137107

Sannia Moore's National Provider Identifier is 1295137107, issued on Sep 23, 2014. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Baltimore, MD. The record was last updated on Sep 23, 2014.