# CAROL T MOORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578599379
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | R120785 | MD | Yes |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | LT 35 / 645281-01 | BC / BS OF MD | MD |
| 01 | — | S 186 / 0098 | BLUECHOICE | MD |