Individual
MRS. MEGAN KATHLEEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, 2 RAVDIN, PHILADELPHIA, PA 19104-4238
(215) 662-3606
(215) 349-5579
Mailing address
3400 SPRUCE ST, 2 RAVDIN, PHILADELPHIA, PA 19104-4238
(215) 662-3606
(215) 349-5579
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP011747
PA
Other
Enumeration date
12/16/2011
Last updated
11/07/2019
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