Individual
MEAGAN NICOLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1760
(270) 745-1000
Mailing address
1015 WEBB RD, CLARKSVILLE, TN 37040-5409
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3015758
KY
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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