Individual provider · Type 1 NPI
Kristine Leigh Moore, CNP
Gerontology Nurse Practitioner · Willoughby, OH
NPI number
1376001933
Active
Practice location
36100 Euclid Ave Ste 420
Willoughby, OH 44094-4429
Mailing address
5691 Mead Hollow Rd
Windsor, OH 44099-8700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | AG06180251 (OH) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1376001933
Kristine Leigh Moore, CNP's National Provider Identifier is 1376001933, issued on Mar 3, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Willoughby, OH. The record was last updated on Mar 3, 2019.