Individual
NICOLE M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
230 N 5TH ST, READING, PA 19601-3309
(610) 376-6077
(610) 376-6944
Mailing address
391 DAUTRICH RD, READING, PA 19606-9134
(610) 376-6077
(610) 376-6944
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN577112
PA
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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