Individual provider · Type 1 NPI

Andrew Moore

Student in an Organized Health Care Education/Training Program · Fayetteville, AR

NPI number 1396574430 Active

Practice location

3 E Appleby Rd Ste 302
Fayetteville, AR 72703-3160

Call (479) 404-1401 Map

Fax (479) 404-1401

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1396574430

Andrew Moore's National Provider Identifier is 1396574430, issued on Jul 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fayetteville, AR. The record was last updated on Apr 17, 2025.