Individual provider · Type 1 NPI

Susan Ashley Moore, NP

Nurse Practitioner · Charlotte, NC

NPI number 1811004641 Active

Practice location

1237 Harding Pl, Ste 3100
Charlotte, NC 28204

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 1237 Harding Pl, Ste 4100, Charlotte, NC 28204 · (704) 355-8816
  • 10650 Park Rd, Charlotte, NC 28210-8538 · (704) 667-3840
  • 101 E W T Harris Blvd, Ste 1213, Charlotte, NC 28262-3485 · (704) 863-1950

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X900442 (NC)
Gerontology Nurse Practitioner 363LG0600X900442 (NC)
Nurse Practitioner Primary 363L00000X900442 (NC)

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 1811004641

Susan Ashley Moore, NP's National Provider Identifier is 1811004641, issued on Aug 25, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 23, 2024.