Individual
ANGELICA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1834 1ST ST, NAPA, CA 94559-2353
(707) 702-3223
Mailing address
25 SAGE WAY, NAPA, CA 94559-3550
(530) 304-7974
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN95222327
CA
363L00000X
Nurse Practitioner
Primary
95925776
CA
Other
Enumeration date
06/01/2022
Last updated
09/20/2023
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