Individual provider · Type 1 NPI
Theresa A. Moore, N.P.
Nurse Practitioner · Syracuse, NY
Practice location
739 Irving Ave, Suite 600
Syracuse, NY 13210-1651
Fax (315) 471-0170
Mailing address
1226 E Water St
Syracuse, NY 13210-1155
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 302160 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1982687158
Theresa A. Moore, N.P.'s National Provider Identifier is 1982687158, issued on Nov 22, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Syracuse, NY. The record was last updated on Jun 18, 2012.