Individual
MRS. NICOLLE MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900
Mailing address
317 DAKOTA DUNES BLVD, STE: D, DAKOTA DUNES, SD 57049
(605) 418-8409
(605) 599-7105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A164738
IA
Other
Enumeration date
07/22/2021
Last updated
12/04/2025
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