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Individual
TASHA M MOORE
Active
Individual
TASHA M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21515
SC
363LA2100X
Acute Care Nurse Practitioner
21515
SC
363LA2200X
Adult Health Nurse Practitioner
21515
SC
363LG0600X
Gerontology Nurse Practitioner
21515
SC
Other
Enumeration date
05/18/2018
Last updated
08/05/2026
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