Individual
DEBORAH IRENE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
138 WEBSTER ST, MANCHESTER, NH 03104-2512
(603) 663-7030
(603) 663-7039
Mailing address
138 WEBSTER ST, MANCHESTER, NH 03104-2512
(603) 663-7030
(603) 663-7039
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
044636-23-05
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044363
TUFTS PIN
NH
01
—
23YP04736NH01
ANTHEM ACES PIN
NH
01
—
30102Y
ANTHEM REFERRING RAN
NH
05
—
30342539
—
NH
01
—
5796011
CIGNA PIN
NH
01
—
P00118051
RR MEDICARE PIN
NH
01
—
S67113
HPHC PIN
NH
Enumeration date
11/08/2005
Last updated
07/09/2007
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