Individual
ROYANNE A. MOORE
Active
Individual
ROYANNE A. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APN5367
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6088379
BLUE CROSS BLUE SHIELD
TN
01
—
APN5367
ADVANCED PRACTICE LICENSE
TN
05
—
Q025907
—
TN
Enumeration date
01/30/2007
Last updated
08/12/2019
Update your record
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