Individual
LARIKA DANYELLE NICOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1248 KINNEYS LN, PORTSMOUTH, OH 45662-2994
(740) 356-7290
(740) 356-7938
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.022226
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.022226
OH
Other
Enumeration date
01/29/2018
Last updated
06/02/2022
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