Individual
MRS. LESLIE J MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 294-2448
Mailing address
10614 CEDAR ISLAND RD, BELLEVUE, NE 68123-1097
(402) 968-7246
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111453
NE
Other
Enumeration date
05/10/2013
Last updated
04/18/2018
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