Individual
IRENE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7130 N MILLBROOK AVE STE 100, FRESNO, CA 93720
(559) 326-1222
(559) 326-1230
Mailing address
PO BOX 25100, FRESNO, CA 93729-5100
(559) 326-1222
(559) 326-1230
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN4177046768
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN417704
LICENSE NUMBER
—
Enumeration date
07/31/2006
Last updated
03/07/2023
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