Individual provider · Type 1 NPI

Edward Ryan Moore, RN, CRNP

Family Nurse Practitioner · Montgomery, AL

NPI number 1700476405 Active

Practice location

454 Taylor Rd
Montgomery, AL 36117-3563

Call (334) 613-9000 Map

Fax (334) 532-0056

Mailing address

454 Saddlewood Dr
Pike Road, AL 36064-2736

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	1-163024 (AL)
Family Nurse Practitioner Primary	363LF0000X	1-163024 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1700476405

Edward Ryan Moore, RN, CRNP's National Provider Identifier is 1700476405, issued on Jan 26, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Montgomery, AL. The record was last updated on Oct 28, 2021.