Individual
CAMETT MICHELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8103 BRODIE LN STE 1, AUSTIN, TX 78745-7475
(512) 502-5019
(737) 249-9246
Mailing address
1130 COTTONWOOD CREEK TRL STE B1, CEDAR PARK, TX 78613-7862
(512) 986-7537
(512) 986-7540
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP139718
TX
Other
Enumeration date
11/18/2018
Last updated
05/14/2022
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