Individual
MS. KATHERINE KATEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
36 MADISON AVE, DREW UNIVERSITY HEALTH SERVICE, MADISON, NJ 07940-1434
(973) 408-3414
(973) 408-3031
Mailing address
36 MADISON AVE, DREW UNIVERSITY HEALTH SERVICE, MADISON, NJ 07940-1434
(973) 408-3414
(973) 408-3031
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN09352500
NJ
363LA2200X
Adult Health Nurse Practitioner
305375
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0224766
—
NJ
Enumeration date
04/11/2006
Last updated
12/03/2010
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