Individual
ABBEY RAE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4602 MACCORKLE AVE SE, CHARLESTON, WV 25304-1848
(304) 205-7535
Mailing address
104 ALEX LN, CHARLESTON, WV 25304-2952
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
120112
WV
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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