Individual
MISS LA'CHELLE ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2316 E MEYER BLVD, KANSAS CITY, MO 64132-1136
(816) 276-4000
Mailing address
607 NE 6TH ST APT D, BLUE SPRINGS, MO 64014-2992
(816) 876-7001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2019040438
MO
Other
Enumeration date
10/23/2019
Last updated
01/04/2022
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