Individual provider · Type 1 NPI
Daniel Lee Moore Jr., ANP- BC
Adult Health Nurse Practitioner · Boston, MA
NPI number
1629388293
Active
Practice location
55 Fruit Street, Diabetes
Boston, MA 02114
Fax (617) 724-8534
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN2258946 (MA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2258946 (MA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1629388293
Daniel Lee Moore Jr., ANP- BC's National Provider Identifier is 1629388293, issued on Oct 18, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Boston, MA. The record was last updated on Jan 6, 2025.