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Individual

HEATHER ANNE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
1530 S BELCREST AVE, SPRINGFIELD, MO 65804-1904
(417) 893-1228
Mailing address
1530 S BELCREST AVE, SPRINGFIELD, MO 65804-1904
(417) 893-1228

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023047989
MO

Other

Enumeration date
12/06/2023
Last updated
12/06/2023
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