Individual provider · Type 1 NPI
Pamela M. Moore, NP
Adult Health Nurse Practitioner · Urbana, IL
NPI number
1881701308
Active
Practice location
611 W. Park St., Cardiology
Urbana, IL 61801-2500
Fax (217) 904-7742
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician | 2086S0129X | RN81005 (AZ) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 209-006880 (IL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1881701308
Pamela M. Moore, NP's National Provider Identifier is 1881701308, issued on Aug 23, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Urbana, IL. The record was last updated on May 28, 2014.