Individual
AMBER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 CORPORATE CENTER DR STE 202, CAMP HILL, PA 17011-1759
(717) 988-9430
(717) 221-5239
Mailing address
617 GENEVA DR APT B16, MECHANICSBURG, PA 17055-4575
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
678572
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP027854
PA
Other
Enumeration date
06/02/2023
Last updated
03/13/2024
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