Individual provider · Type 1 NPI

Reginald Wayne Moore

Student in an Organized Health Care Education/Training Program · Albuquerque, NM

NPI number 1548053663 Active

Practice location

3808 Carlisle Blvd NE
Albuquerque, NM 87107-4502

Mailing address

3908 Carlisle Blvd NE
Albuquerque, NM 87107-4504

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1548053663

Reginald Wayne Moore's National Provider Identifier is 1548053663, issued on May 22, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Albuquerque, NM. The record was last updated on May 22, 2025.