Individual provider · Type 1 NPI
Sandra Jeanne Moore, RN
Psychiatric/Mental Health Registered Nurse · Eldorado Springs, MO
NPI number
1376843714
Active
Practice location
107 W Broadway, Pathway's Behavioral Health Care
Eldorado Springs, MO 64744
Fax (417) 876-5328
Mailing address
1800 Community Drive, Midwest Health Care Management Inc
Clinton, MO 68735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 042689 (MO) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
Another provider at this address
About NPI 1376843714
Sandra Jeanne Moore, RN's National Provider Identifier is 1376843714, issued on Nov 2, 2010. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Eldorado Springs, MO. The record was last updated on Nov 2, 2010.