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Organization
SIMONA L MOORE CNP LLC
Active
Organization
SIMONA L MOORE CNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONA LYDIA MOORE NP (OWNER)
(330) 473-2569
Entity
Organization
Contact information
Practice address
206 S MULBERRY ST, MOUNT VERNON, OH 43050-3331
(740) 399-3008
(740) 393-3009
Mailing address
206 S MULBERRY ST, MOUNT VERNON, OH 43050-3331
(740) 326-1231
(740) 326-1175
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
NULL
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082004
—
OH
Enumeration date
01/30/2013
Last updated
09/11/2025
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