Individual provider · Type 1 NPI

Gwendolyn Moore, NP

Family Nurse Practitioner · Syracuse, NY

NPI number 1487058145 Active

Practice location

750 E Adams St
Syracuse, NY 13210-2306

Mailing address

Upstate University Hospital, 750 E Adams St
Syracuse, NY 13210

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X336836 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1487058145

Gwendolyn Moore, NP's National Provider Identifier is 1487058145, issued on Oct 9, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Syracuse, NY. The record was last updated on Nov 13, 2023.