# MICHAEL ANTHONY MOORE

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

## Provider details

- **NPI number:** 1770132896
- **Gender:** Man
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP61085291 | WA | — |
| 363LA2200X | Adult Health Nurse Practitioner | AP61085291 | WA | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | 5012227 | NC | — |

## Other

- **Enumeration date:** 09/11/2019
- **Last updated:** 06/16/2022