Individual provider · Type 1 NPI

Carla Moore

School Registered Nurse · Glendale, AZ

NPI number 1356566624 Active

Practice location

6330 W Thunderbird Rd
Glendale, AZ 85306-4002

Mailing address

PO Box 731
Wickenburg, AZ 85358-0731

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200XRN032313 (AZ)

School Registered Nurse: Definition to come...

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About NPI 1356566624

Carla Moore's National Provider Identifier is 1356566624, issued on Apr 13, 2007. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Glendale, AZ. The record was last updated on Jul 9, 2007.