Individual
CAITLYN M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-7817
Mailing address
800 SPRUCE STREET, PINE 1 WEST, PHILADELPHIA, PA 19107-6130
(215) 829-7817
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN649812
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP016864
PA
Other
Enumeration date
10/11/2016
Last updated
07/21/2022
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