Individual
CHELSEA LYN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 HOSPITAL DR, PENDER, NE 68047-4507
(402) 385-3083
(402) 385-4041
Mailing address
PO BOX 100, PENDER, NE 68047-0100
(402) 922-1701
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2587
NE
Other
Enumeration date
03/10/2021
Last updated
11/08/2022
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