Individual
MISS AUDREY KIM MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 WELCH RD., PALO ALTO, CA 94304
(718) 904-4032
Mailing address
725 WELCH RD., PALO ALTO, CA 94304
(650) 497-8800
(650) 497-8034
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP22335
CA
363LN0000X
Neonatal Nurse Practitioner
F350322
NY
363LN0000X
Neonatal Nurse Practitioner
NP22335
CA
Other
Enumeration date
05/23/2011
Last updated
04/19/2023
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