Individual provider · Type 1 NPI
Alisha Marie Moore
Family Nurse Practitioner · Tuscaloosa, AL
NPI number
1710407150
Active
Practice location
100 Rice Mine Rd N Ste B
Tuscaloosa, AL 35406-2375
Mailing address
1957 Vic Green Rd
Northport, AL 35475-4964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 630900428 (AL) |
| Family Nurse Practitioner Primary | 363LF0000X | 1-116590 (AL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1710407150
Alisha Marie Moore's National Provider Identifier is 1710407150, issued on Jun 27, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tuscaloosa, AL. The record was last updated on Dec 8, 2022.