Individual
KATARA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 COUNTY ROAD 19, HARDAWAY, AL 36039-2845
(334) 421-9981
Mailing address
1575 COUNTY ROAD 19, HARDAWAY, AL 36039-2845
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1-154109
AL
363LG0600X
Gerontology Nurse Practitioner
1-154109
AL
363LP2300X
Primary Care Nurse Practitioner
Primary
1-154109
AL
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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