Individual provider · Type 1 NPI
Mallory Butler Moore, CRNP
Nurse Practitioner · Huntsville, AL
Practice location
101 Sivley Rd SW
Huntsville, AL 35801-4470
Mailing address
7832 Horseshoe Trl SE
Huntsville, AL 35802-3218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1-149936 (AL) |
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 1740864180
Mallory Butler Moore, CRNP's National Provider Identifier is 1740864180, issued on May 11, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Huntsville, AL. The record was last updated on May 11, 2021.