Individual provider · Type 1 NPI
Kristin Marie Glumack Moore
Gerontology Nurse Practitioner · Minneapolis, MN
NPI number
1356078950
Active
Practice location
2925 Chicago Ave
Minneapolis, MN 55407-1321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 9316 (MN) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1356078950
Kristin Marie Glumack Moore's National Provider Identifier is 1356078950, issued on Aug 3, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 13, 2022.