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Individual
NINA DAWN MOORE
Active
Individual
NINA DAWN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
837182
TX
363LF0000X
Family Nurse Practitioner
Primary
1020687
TX
Other
Enumeration date
05/19/2020
Last updated
07/21/2021
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