Individual
DEBORAH M. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
84 STATE ST STE 660, BOSTON, MA 02109-2200
(800) 370-3651
(877) 515-7147
Mailing address
55 HATCHETTS HILL RD, OLD LYME, CT 06371-1534
(800) 370-3651
(877) 515-7147
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN252768
MA
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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