Individual provider · Type 1 NPI

William Wyatt Moore, N.P.

Nurse Practitioner · Gautier, MS

NPI number 1407089907 Active

Practice location

2105 Old Spanish Trl
Gautier, MS 39553-6000

Fax (228) 497-0647

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR867645 (MS)

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 1407089907

William Wyatt Moore, N.P.'s National Provider Identifier is 1407089907, issued on Aug 31, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gautier, MS. The record was last updated on Sep 13, 2013.