Individual
ELIZABETH DEANNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
10 SUNNYBROOK RD, RALEIGH, NC 27610-1808
(919) 250-3999
Mailing address
10 SUNNYBROOK RD, RALEIGH, NC 27610-1808
(919) 250-3999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5011259
NC
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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