Individual
MRS. EMILY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3619 PARK EAST DR STE 109, BEACHWOOD, OH 44122-4312
(216) 844-3192
Mailing address
PO BOX 772928, DETROIT, MI 48277-2928
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0037649
OH
Other
Enumeration date
09/25/2024
Last updated
04/14/2025
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