Individual provider · Type 1 NPI
Maile A. Moore, RN, CPNP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1649356668
Active
Practice location
300 Longwood Ave, Fegan 9
Boston, MA 02115-5724
Fax (617) 730-0463
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 263312 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1649356668
Maile A. Moore, RN, CPNP's National Provider Identifier is 1649356668, issued on Oct 31, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Aug 28, 2007.