Individual provider · Type 1 NPI

Kristie Moore

Family Nurse Practitioner · Eagan, MN

NPI number 1801290242 Active

Practice location

PO Box 211699
Eagan, MN 55121-3699

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN191998 (GA)
Family Nurse Practitioner 363LF0000X32702 (SC)
Family Nurse Practitioner 363LF0000X0024198559 (VA)
Family Nurse Practitioner 363LF0000XAPRN11050204 (FL)
Family Nurse Practitioner 363LF0000X1247832 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1801290242

Kristie Moore's National Provider Identifier is 1801290242, issued on Oct 14, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Eagan, MN. The record was last updated on Oct 15, 2026.