Individual
RHEAGAN ROSS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 OLIVER RD # A, MONROE, LA 71201-5702
(318) 807-4951
(183) 812-0808
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN152121
LA
363LF0000X
Family Nurse Practitioner
Primary
213824
LA
Other
Enumeration date
06/04/2020
Last updated
06/14/2022
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