Individual
SONYA D MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN223673
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2266079
—
OH
Enumeration date
04/14/2006
Last updated
11/13/2011
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