Individual
KAREN S MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
11501 PAGE SERVICE DR, SAINT LOUIS, MO 63146-3530
(314) 993-3014
(314) 993-2065
Mailing address
1861 HARBOR MILL DR, FENTON, MO 63026-2654
(636) 225-2092
(314) 993-2065
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN139842
MO
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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