Individual
EMILY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1763 COMMONWEALTH AVE APT 1, BRIGHTON, MA 02135-4040
(203) 213-0725
Mailing address
1763 COMMONWEALTH AVE APT 1, BRIGHTON, MA 02135-4040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2339513
MA
363L00000X
Nurse Practitioner
Primary
RN2339513
MA
Other
Enumeration date
10/30/2023
Last updated
03/25/2025
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