Organization
THE WOMEN'S PAVILION, PSC APRN GROUP
Active
Parent organization
THE WOMEN'S PAVILION, PSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE WOMEN'S PAVILION, PSC
Authorized official
DR. ANDREA B MOORE M.D. (PRESIDENT)
(270) 926-3700
Entity
Organization
Contact information
Practice address
2200 E PARRISH AVE STE 201, BLDG B, OWENSBORO, KY 42303-1449
(270) 926-3700
(270) 926-2114
Mailing address
2200 E PARRISH AVE STE 201, BLDG B, OWENSBORO, KY 42303-1449
(270) 926-3700
(270) 926-2114
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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