Individual provider · Type 1 NPI
Leslie Carol Moore, CRNP FNP
Primary Care Nurse Practitioner · Philadelphia, PA
NPI number
1912424474
Active
Practice location
1800 Lombard St
Philadelphia, PA 19146-1414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | SP014903 (PA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1912424474
Leslie Carol Moore, CRNP FNP's National Provider Identifier is 1912424474, issued on Aug 25, 2017. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 25, 2017.