Individual provider · Type 1 NPI
Melissa Rose Moore, CNM, CNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Albuquerque, NM
NPI number
1619392172
Active
Practice location
1111 11th St NW
Albuquerque, NM 87104-2105
Fax (505) 727-4505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN-78727 (NM) |
| Registered Nurse | 163W00000X | 4704257647 (MI) |
| Advanced Practice Midwife | 367A00000X | 670 (NM) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 77534 (NM) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1619392172
Melissa Rose Moore, CNM, CNP, PMHNP-BC's National Provider Identifier is 1619392172, issued on Feb 20, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Albuquerque, NM. The record was last updated on Dec 30, 2024.