Individual
MARANDA J MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10812 ROB HILL RD, DARDANELLE, AR 72834-8108
(479) 453-6216
Mailing address
10812 ROB HILL RD, DARDANELLE, AR 72834-8108
(479) 453-6216
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
124571
AR
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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