Individual provider · Type 1 NPI
Kim Marie Moore, FNP-C
Family Nurse Practitioner · Los Angeles, CA
NPI number
1487916250
Active
Practice location
1670 E 120th St, N S Bldg Room 2C06
Los Angeles, CA 90059-3026
Fax (310) 632-3748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 513012 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1487916250
Kim Marie Moore, FNP-C's National Provider Identifier is 1487916250, issued on Jun 8, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 17, 2014.