Individual provider · Type 1 NPI

Brenna Grace Moore, IOM

Contractor · Mesa, AZ

NPI number 1528401577 Active

Practice location

2535 W Plata Ave
Mesa, AZ 85202-7860

Call (623) 335-2466 Map

Fax (623) 321-5900

Mailing address

PO Box 40823
Mesa, AZ 85274-0823

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1528401577

Brenna Grace Moore, IOM's National Provider Identifier is 1528401577, issued on Apr 9, 2013. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Mesa, AZ. The record was last updated on Apr 9, 2013.