# ELIZABETH ANN MOORE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GENERATIONS OBGYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275722464
- **Authorized official:** ELIZABETH ANN MOORE MD (PRESIDENT)
- **Authorized official phone:** (702) 435-1037

## Contact information

- **Practice address:** 10521 JEFFREYS ST STE 100, HENDERSON, NV 89052-4181
- **Practice address phone:** (702) 435-1037
- **Practice address fax:** (702) 435-5430
- **Mailing address:** 10624 S EASTERN AVE \# A-406, HENDERSON, NV 89052-2982
- **Mailing address phone:** (702) 435-1037
- **Mailing address fax:** (702) 435-5430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/24/2007
- **Last updated:** 03/11/2010