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Individual
TRACY C. MOORE
Active
Individual
TRACY C. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1066578
KY
363L00000X
Nurse Practitioner
3006134
KY
363LF0000X
Family Nurse Practitioner
Primary
3006134
KY
363LF0000X
Family Nurse Practitioner
ARNP9370360
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1066578
RN LICENSE NUMBER
KY
05
—
7100087960
—
KY
01
—
ARNP9370360
RN/ARNP LICENSE
FL
Enumeration date
08/06/2009
Last updated
01/10/2018
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