Individual provider · Type 1 NPI
Lisa Ann Moore, AGPCNP
Gerontology Nurse Practitioner · Buellton, CA
NPI number
1932031168
Active
Practice location
360 Dogwood Dr
Buellton, CA 93427-6809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 95031277 (CA) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1932031168
Lisa Ann Moore, AGPCNP's National Provider Identifier is 1932031168, issued on Jun 2, 2026. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Buellton, CA. The record was last updated on Jun 2, 2026.