Individual
MS. RHONDA J. WELLER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC, PHD
Contact information
Practice address
1250 S CEDAR CREST BLVD, STE 310, ALLENTOWN, PA 18103-6224
(610) 402-6890
(610) 402-6892
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP010532
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN193506L
LICENSE
PA
Enumeration date
06/04/2007
Last updated
12/18/2015
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