Individual
MR. MARTIN LOUIS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN RN
Contact information
Practice address
3961 S MCCARRAN BLVD, RENO, NV 89502-7510
(775) 683-3444
(775) 683-3222
Mailing address
3961 S MCCARRAN BLVD, RENO, NV 89502-7510
(775) 683-3444
(775) 683-3222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN000704
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500026966
MEDICARE RAILROAD
NV
Enumeration date
10/06/2005
Last updated
05/23/2018
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