Individual
CAROL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1199 SENECA RD, BLOOMSBURG, PA 17815-9500
(570) 387-8241
Mailing address
1199 SENECA RD, BLOOMSBURG, PA 17815-9500
(570) 387-8241
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN290482L
PA
163WP0200X
Pediatric Registered Nurse
SP003685N
PA
Other
Enumeration date
10/02/2016
Last updated
10/02/2016
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