Individual
BROOKE E MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN.CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71008662A
IN
363L00000X
Nurse Practitioner
Primary
APRN.CNP.023018
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0331865
—
OH
Enumeration date
08/22/2018
Last updated
07/01/2024
Update your record
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