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

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XSP014903 (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.