Individual provider · Type 1 NPI
Evan C. Moore, DNP
Psychiatric/Mental Health Nurse Practitioner · Bangor, ME
NPI number
1548870934
Active
Practice location
73 Hammond St Ste 9998
Bangor, ME 04401-9998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | CNP211261 (ME) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1548870934
Evan C. Moore, DNP's National Provider Identifier is 1548870934, issued on Jul 31, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bangor, ME. The record was last updated on Sep 29, 2023.