Individual provider · Type 1 NPI

Tracy L. Moore, CPNP

Nurse Practitioner · St. Louis, MO

NPI number 1386771046 Active

Practice location

1465 S Grand Blvd
St. Louis, MO 63104-1003

Call (314) 577-5600 Map

Mailing address

1836 Lackland Hill Pkwy, Attn Credentialing Department
St. Louis, MO 63146-3572

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X107629 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1386771046

Tracy L. Moore, CPNP's National Provider Identifier is 1386771046, issued on Feb 28, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.