Individual
MRS. CHAVONA PRINSHAY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1845 CHERRY STREET, MONTGOMERY, AL 36107
(334) 420-5001
(334) 420-0160
Mailing address
1845 CHERRY STREET, MONTGOMERY, AL 36107
(334) 420-5001
(334) 420-0160
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-139040
AL
Other
Enumeration date
03/01/2021
Last updated
09/21/2021
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