Individual
MRS. MICHELE L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1144 MEADOW DR, ONEIDA, NY 13421-2726
(315) 363-9380
(315) 363-9382
Mailing address
1144 MEADOW DR, ONEIDA, NY 13421-2726
(315) 363-9380
(315) 363-9382
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F300032
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02011301
—
NY
Enumeration date
11/01/2006
Last updated
06/08/2023
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