Individual provider · Type 1 NPI

Tara Leigh Moore, FNP

Family Nurse Practitioner · Nashua, NH

NPI number 1417414293 Active

Practice location

172 Kinsley St
Nashua, NH 03060-3648

Mailing address

C/o St Mary's Health System - Provider Enrollment, PO Box 7291
Lewiston, ME 04243-7291

Other practice locations

  • 11 Nevins St, Brighton, MA 02135-3514 · (617) 789-3191

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X197868 (MA)
Family Nurse Practitioner Primary 363LF0000X079641-23 (NH)

Family Nurse Practitioner: Definition to come...

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About NPI 1417414293

Tara Leigh Moore, FNP's National Provider Identifier is 1417414293, issued on Feb 27, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Nashua, NH. The record was last updated on Jun 5, 2020.