Individual provider · Type 1 NPI
Courtney L. Moore, NP
Psychiatric/Mental Health Nurse Practitioner · Bloomington, IN
NPI number
1801319231
Active
Practice location
4325 E Cricket Knl
Bloomington, IN 47401-8103
Fax (317) 674-0060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 71007248A (IN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 71007248A (IN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1801319231
Courtney L. Moore, NP's National Provider Identifier is 1801319231, issued on Jul 18, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bloomington, IN. The record was last updated on Mar 8, 2024.