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Individual
MISS AUDREY KIM MOORE
Active
Individual
MISS AUDREY KIM MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP22335
CA
363LN0000X
Neonatal Nurse Practitioner
F350322
NY
363LN0000X
Neonatal Nurse Practitioner
NP22335
CA
Other
Enumeration date
05/23/2011
Last updated
04/19/2023
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