Individual
ASHLEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114
(617) 724-4505
Mailing address
58 CUTTER ST, MELROSE, MA 02176-3645
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2266842
MA
Other
Enumeration date
09/20/2016
Last updated
09/14/2018
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