Individual
NATASHA PUGH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2727 W DR MARTIN LUTHER KING JR BLVD, SUITE 310, TAMPA, FL 33607-6383
(813) 350-7244
(813) 350-7246
Mailing address
2727 W DR MARTIN LUTHER KING JR BLVD, SUITE 310, TAMPA, FL 33607-6383
(813) 350-7244
(813) 350-7246
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024168116
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
1094585
TX
367500000X
Certified Registered Nurse Anesthetist
176958
NC
367500000X
Certified Registered Nurse Anesthetist
ARNP9370840
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12367790
CAQH
—
05
—
8052135
—
NC
01
—
P00272494
RAILROAD-MEDICARE
NC
Enumeration date
01/25/2007
Last updated
11/28/2022
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