Individual
ADRIANNA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1260 MORENA BLVD STE 100, SAN DIEGO, CA 92110-3850
(763) 923-4873
Mailing address
14442 CALLE NUBLADO, SAN DIEGO, CA 92129-3811
(763) 923-4873
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95200377
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95200377
BOARD OF REGISTERED NURSES
CA
Enumeration date
07/01/2022
Last updated
07/01/2022
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