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Individual

ASHLEY MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, AGACNP-BC

Contact information

Practice address
621 N HALL ST, SUITE 100, DALLAS, TX 75226-1339
(214) 821-9600
(214) 823-5290
Mailing address
621 N HALL ST, SUITE 100, DALLAS, TX 75226-1339
(214) 821-9600
(214) 823-5290

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP127673
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
419441ZPU1
MEDICARE
Enumeration date
03/10/2015
Last updated
10/22/2018
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