Individual
MADISON NUNNERY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 898-4000
Mailing address
18318 BELLINGRATH LAKES AVE, GREENWELL SPRINGS, LA 70739-4760
(225) 933-1416
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
212861
LA
Other
Enumeration date
05/07/2024
Last updated
04/28/2026
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