Individual
MATTHEW STEPHEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5741
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
31309
TN
367500000X
Certified Registered Nurse Anesthetist
4037564
KY
367500000X
Certified Registered Nurse Anesthetist
RN288846
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2017
Last updated
04/17/2025
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