Individual
ALEXIS LYNN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
723 PARK RIDGE LN, N FOND DU LAC, WI 54937-1385
(920) 926-8600
(920) 826-8650
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 280-4647
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13789-33
WI
Other
Enumeration date
07/18/2023
Last updated
02/19/2024
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