Individual provider · Type 1 NPI

Breon J. Moore, MSN, APRN, FNP-C

Nurse Practitioner · Willowbrook, IL

NPI number 1649030776 Active

Practice location

40 75th St
Willowbrook, IL 60527-2325

Mailing address

7050 183rd St Unit 408
Tinley Park, IL 60477-4061

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209028981 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1649030776

Breon J. Moore, MSN, APRN, FNP-C's National Provider Identifier is 1649030776, issued on Mar 19, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Willowbrook, IL. The record was last updated on Mar 19, 2024.