Individual
CAITLIN MILLER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2235 PEACOCK LN, MOUNTAIN BRK, AL 35223-1709
(269) 207-7154
Mailing address
2235 PEACOCK LN, MOUNTAIN BRK, AL 35223-1709
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
1-135915
AL
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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