Individual provider · Type 1 NPI

Al Moore

Addiction (Substance Use Disorder) Registered Nurse · Maumee, OH

NPI number 1548027717 Active

Practice location

1757 Indian Wood Cir
Maumee, OH 43537-4009

Mailing address

543 Nicholas St
Toledo, OH 43609-2917

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400XRN.524900 (OH)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1548027717

Al Moore's National Provider Identifier is 1548027717, issued on Mar 4, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Maumee, OH. The record was last updated on Mar 4, 2024.