Individual provider · Type 1 NPI

Elizabeth Dianne Moore, CPNP

Pediatric Nurse Practitioner · Dallas, TX

NPI number 1962867473 Active

Practice location

5200 Harry Hines Blvd
Dallas, TX 75235-7709

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	AP125414 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1962867473

Elizabeth Dianne Moore, CPNP's National Provider Identifier is 1962867473, issued on Dec 28, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Dec 28, 2015.